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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371746
Report Date: 04/07/2026
Date Signed: 04/07/2026 04:04:36 PM

Document Has Been Signed on 04/07/2026 04:04 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:CESD-STATE PRESCHOOL (WK)FACILITY NUMBER:
304371746
ADMINISTRATOR/
DIRECTOR:		ESTRADA, SUSANFACILITY TYPE:
860
ADDRESS:7300 LA PALMA AVETELEPHONE:
(714) 228-3153
CITY:BUENA PARKSTATE: CAZIP CODE:
92807
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 50DATE:
04/07/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Estrada, Susan TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On April 7, 2026, Licensing Program Analysts (LPA) Vivian Trinh, and (LPA), Jessica Carreiro conducted an unannounced case management inspection for the purpose of increasing the preschool capacity from 75 to 100 preschool children ages 2 -5 years old. Currently, the Facility is licensed for 75 preschool children in rooms KA, KB 2,3, and MPR. LPAs met with Readiness/Child Development Coordinator, Estrada, Susan. There are 50 preschool children and eight (8) staff members, including the Readiness/Child Development Coordinator, inside each of the classrooms. The license is requesting to be licensed for 100 preschool children aged 2 to 5 years old in Rooms KA, KB 2,3, and MPR. Hours of operation will be Monday through Friday, 7:30am-5:30pm

All indoor and outdoor activity spaces for children were inspected and measured today. There are operational carbon monoxide detectors in each classroom. All required licensing documents were observed posted in the front entrance. Children will be signed in and out at the front of each classroom manually.

INDOOR INSPECTION: Total indoor activity space measured was 3,583.56 square feet, sufficient to accommodate the requested overall capacity of 100 Children. LPAs viewed age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms in the children's own water bottles, each with their name on it. LPAs observed that all hazardous items were inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted for 100 children aged 2 to 5 years old in rooms KA, KB 2,3, and MPR. Continued Page 2.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CESD-STATE PRESCHOOL (WK)
FACILITY NUMBER: 304371746
VISIT DATE: 04/07/2026
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Page 2.
LPA observed a total of 11 sinks, 9 toilets, and 4 Urinals available for children’s use. These are sufficient to accommodate the requested capacity of 100 children.

There are two separate staff restrooms equipped with 3 toilets and 3 sinks. The isolation area for children who are ill will be the health office in building 5, with a staff restroom directly across with 1 toilet and 1 sink.

ON-SITE FOOD PREPARATION: The facility provided breakfast, lunch, and an afternoon snack. The meals are prepared off-site at a local school district facility.

OUTDOOR INSPECTION: The facility currently has a fully fenced playground area. Chain-link fencing is at least 4 feet high. The total square footage for all the outdoor activity spaces is 9,936 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via trees and building overhang. There are sufficient age-appropriate outdoor toys and play equipment available, but they were stored in a separate area. Drinking water is available via a water dispenser and children’s own water bottles. LPA observed that all hazardous items on the playground were inaccessible to children.

LEAD TESTING: Drinking water is available via children's own water bottles, which can be refilled in the refillable station. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). The facility updated the lead testing for water on 7/28/2025, but the completed lead testing results were not provided. The School Readiness/Child Development Coordinator, Estrada, Susan, stated will submit the completed lead testing results to the LPA.

CRIMINAL RECORD CLEARANCE: The School Readiness/Child Development Coordinator, Estrada, Susan was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CESD-STATE PRESCHOOL (WK)
FACILITY NUMBER: 304371746
VISIT DATE: 04/07/2026
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Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. When any IMS is provided, medications will be kept in the nurse’s office in a locked container(if needed, also a refrigerator). Life-saving medications will be kept locked in the classrooms. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The School Readiness/Child Development Coordinator, Estrada, Susan was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communications.

The School Readiness/Child Development Coordinator, Estrada, Susan was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at this inspection date.

Fire clearance has been granted for the requested capacity on 3/11/2026. Based on today's measurement of indoor/outdoor, and the number of sinks and toilets, the facility meets the requirements for the requested capacity of 100 preschool children. The facility will be granted an increased capacity of 100 preschool children, based on limited outdoor space. The facility will be granted an increasing capacity of 100 preschool children, based on the limited indoor/outdoor space measurements. An updated license for 100 preschool children will be approved after final review by the management.

Continued Page 4.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CESD-STATE PRESCHOOL (WK)
FACILITY NUMBER: 304371746
VISIT DATE: 04/07/2026
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The following correction is needed prior to the issuance of the license:

1. The facility to submit the completed lead testing result to the LPA.

A notice of site visit was given to School Readiness/Child Development Coordinator, Estrada, Susan, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. An exit interview was conducted with the School Readiness/Child Development Coordinator, Estrada, Susan. The Appeal Rights were explained. The School Readiness/Child Development Coordinator, Estrada, Susan received a copy of the Appeal Rights.


End of report.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC809 (FAS) - (06/04)
Page: 5 of 5