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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370367
Report Date: 08/16/2024
Date Signed: 08/16/2024 02:16:01 PM


Document Has Been Signed on 08/16/2024 02:16 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:DR. ALBERT SCHWEITZER SCHOOL READINESS ROOMFACILITY NUMBER:
304370367
ADMINISTRATOR:DANG, STEPHANIEFACILITY TYPE:
850
ADDRESS:229 S. DALE ROOM 40TELEPHONE:
(714) 527-2154
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:24CENSUS: 0DATE:
08/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Site Coordinator Stephanie DangTIME COMPLETED:
02:30 PM
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(Page 1)
Licensing Program Analyst (LPA) Giselle Lucero conducted a case management inspection of the facility for the purpose of a room change and a request to change the facility’s status from inactive to active. According to licensing records, facility has been inactive since July 02, 2023. LPA met with Site Coordinator Stephanie Dang who gave LPA a walk through of the facility. Currently the facility is licensed for 24 preschool children in Room 40. There were no children in care due to the facility being inactive.

A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (The staff are exempt of this requirement due to staff being employed by Magnolia School District and they are fingerprint cleared under the School District).

The facility has requested a room change and remove classroom 40 from the license and provide care and supervision to 24 preschool children in Room 42, Monday to Friday from 8:00 AM to 3:00 PM.

Room 42 measured a total of 840.10 square feet which is sufficient for the requested capacity. There is 1 sink and 1 toilet in room 42 for children’s use which is sufficient for the requested capacity. California Code of Regulations, Title 22, Division 12, Section 101239(h) requires one toilet and sink for every fifteen children. The facility was granted a waiver that was approved September 26,2016 to share the restroom facilities at the elementary school.

California Code of Regulations, Title 22, Division 12, Section 101238.2, Section 101438.2, and Section 101538.2 require 75 square feet per child of outdoor activity space. The facility was granted a waiver that was approved September 26,2016 to share the outdoor activity space with kindergarten children from this elementary school.

(continue to page 2)
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle LuceroTELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: DR. ALBERT SCHWEITZER SCHOOL READINESS ROOM
FACILITY NUMBER: 304370367
VISIT DATE: 08/16/2024
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(Page 2)
Orange County Fire authority approved the facility for a capacity of 24 preschool children in Room 42 approved on 08/06/2024.

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 platform.

The facility was in compliance with Title 22 Regulations at the time of inspection. A license will be issued after final review, in the event additional requirements are needed, the licensee will be notified.

Based on today’s indoor measurements, the sinks and toilets available, the request of the facility to utilize classroom 42 is granted effective today’s date.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Site Coordinator Stephanie Dang.

End of report

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle LuceroTELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC809 (FAS) - (06/04)
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