<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300605318
Report Date: 08/07/2019
Date Signed: 08/07/2019 03:00:21 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:CENTENNIAL CHILD DEV CNTRFACILITY NUMBER:
300605318
ADMINISTRATOR:SUSAN WAHLFACILITY TYPE:
850
ADDRESS:2900 WEST EDINGER STTELEPHONE:
(714) 241-5740
CITY:SANTA ANASTATE: CAZIP CODE:
92704
CAPACITY:69CENSUS: 0DATE:
08/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Director Susan WahlTIME COMPLETED:
03:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A case management inspection conducted on this day by Licensing Program Analyst ( LPA) Ho. The Early Childhood Educator Setting is requesting to add a toddler option component to the existing preschool license without any change to the capacity. The Early Childhood Educator Setting is currently licensed for 69 preschool children and seeking to add 19 toddlers ages 18 to 36 months old to the preschool license. Rooms C105 will be used for the toddler option program. No children were present during today's inspection due to Summer Break. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Measurement was taken as follows:
Indoor space:
Room # C105: 26'9 x 23.9' = 634'
21'3 x 7'3 = 154'
Total: 635 + 154' = 789'/35' = 22 children

Sink: 9 x 15 = 135 children
Toilet: 2 x 15 = 90 children.

Toddler option children will be sharing the play yard with the preschool children using the staggered schedules. Waiver has been submitted to LPA for approval.
Fire clearance from Orange County Fire Authority has been received and approved for requested capacity.
Base on today’s measurements and the sink & toilet availability, center has sufficient activity space to support the requested capacity of 19 toddler option and 50 preschool children.

Exit interview conducted. Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Thuy HoTELEPHONE: (714) 296-6577
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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 1