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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304270837
Report Date:
06/26/2024
Date Signed:
06/26/2024 10:02:11 AM
Document Has Been Signed on
06/26/2024 10:02 AM
- 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:
WESTMINSTER SCHOOL DISTRICT-SCHMITT STATE PRESCHOO
FACILITY NUMBER:
304270837
ADMINISTRATOR:
VICKY TRAN
FACILITY TYPE:
850
ADDRESS:
7200 TRASK AVENUE
TELEPHONE:
(714) 894-7264
CITY:
WESTMINSTER
STATE:
CA
ZIP CODE:
92683
CAPACITY:
48
CENSUS:
0
DATE:
06/26/2024
TYPE OF VISIT:
Office
UNANNOUNCED
TIME BEGAN:
09:10 AM
MET WITH:
Darcy Spicer, Early Education Coordinator
TIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) P Rivas and Office Technician (OT) Ebony Vasquez conducted an office meeting with Ms. Darcy Spicer Early Education Coordinator for the purpose of reviewing lic 200a and facility sketch in order to send out a fire clearance.
LPA discussed lic 200a and found that this facility did not have a change of capacity or program type. The applicant only wants to change rooms but facility is also undergoing a refresh and facility will not be ready until approximately August 20th.
LPA discussed notice of incomplete application .
Applicant advised that a fire clearance will be sent out as soon as correct facility sketch and lic 200a is completed.
LPA also advised that this change in rooms will be reassigned to the case carrying LPA.
An exit interview was conducted.
SUPERVISOR'S NAME:
Monica Cuddy
TELEPHONE:
(916) 936-5444
LICENSING EVALUATOR NAME:
Pat Rivas
TELEPHONE:
714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/26/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/26/2024
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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