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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300602967
Report Date: 04/14/2021
Date Signed: 04/14/2021 02:21:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GRACE CHRISTIAN PRESCHOOLFACILITY NUMBER:
300602967
ADMINISTRATOR:SPIELMAN, JULIEFACILITY TYPE:
850
ADDRESS:26052 TRABUCO ROADTELEPHONE:
(949) 951-8683
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:150CENSUS: 88DATE:
04/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director, Julie SpielmanTIME COMPLETED:
10:45 AM
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Tele-Inspection due to Covid-19 State of Emergency

Licensing Program Analyst (LPA) Nguyen conducted an unannounced phone call to provide facility with a copy of an amended reported dated 2/27/2019. Director, Julie Spielman agreed to conduct the tele-inspection via FaceTime. Census was taken in individual classrooms. The overall census observed was 88 preschool children with 24 staff including the director. During today's inspection staffing ratios were being met and the facility was operating within its licensed capacity.

The report is being amended changing the type A to a type B violation. This is in response to an appeal dated March 12, 2019 for an inspection conducted on February 27, 2019.

There were no Title 22 deficiencies cited during today's inspection.



An exit interview was conducted with the director, Julie Spielman, on this date. Appeal Rights were reviewed and explained. A copy of this report and Appeal Rights (LIC 9058 1/16) were emailed to the director. First level appeals should be sent to the Regional Manager to the address listed above. The director will email a received acknowledgement as her signature for this report due to the tele-inspection delivery by typing, “I have read and received the Inspection Report, I acknowledge receipt” in the subject line of the return email.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
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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