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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300606946
Report Date: 10/23/2024
Date Signed: 10/23/2024 03:21:11 PM


Document Has Been Signed on 10/23/2024 03:21 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:MORNINGSIDE PRESBYTERIAN CHURCH CHILDREN'S CENTERFACILITY NUMBER:
300606946
ADMINISTRATOR:HEIDI SHIKUMAFACILITY TYPE:
840
ADDRESS:1201 E. DOROTHY LANETELEPHONE:
(714) 441-1227
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:60CENSUS: 37DATE:
10/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Director Heidi ShikumaTIME COMPLETED:
03:45 PM
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On 10/23/24, A case management inspection was conducted by Licensing Program Analysts (LPA) Chan and Castro who met with Director, Heidi Shikuma. Upon arrival there were 37 children present and 5 staff.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.



LPAs observed and inspected the school-age play area specifically the Kids Connection play area which is in the upper level of the playground where the monkey bar is. Director stated they will add and refill wood chips in the playground. Director also stated the Kindergarteners and First graders are not allowed on the monkey bars any more.

No deficiencies cited during this visit.



Exit interview was conducted with Director, Heidi Shikuma. The Notice of Site Visit was posted. Head of School 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. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledge receipt of these rights. The first level appeal is to Regional Manager, address is above on the report.

End of Report.

SUPERVISOR'S NAME: Martha MalaneTELEPHONE: (310) 740-3022
LICENSING EVALUATOR NAME: Anna Francesca ChanTELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2024
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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