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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371658
Report Date: 12/11/2023
Date Signed: 12/11/2023 03:01:29 PM

Document Has Been Signed on 12/11/2023 03:01 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:HANDY PRESCHOOLFACILITY NUMBER:
304371658
ADMINISTRATOR:OLIVO, JORDINFACILITY TYPE:
850
ADDRESS:860 NORTH HANDY STREETTELEPHONE:
(714) 628-4000
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
12/11/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jordin Olivo, Designated ApplicantTIME COMPLETED:
03:15 PM
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Licensing Program Analysts, P Rivas and M Quinto conducted a face to face meeting with designated applicant to review application and also application #304371662.

Ms. Olivo provided lic 999 for Handy and for Taft applications.

LPAs reviewed in detail and provided the Notice of Incomplete application to Ms. Olivo


LPAs requested to provide updated lic 999 Facility Sketches for all applications recently submitted so the std 850 can be mailed.

Exit interview was conducted
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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