304370402-2-3-2021-06-CC-KDEI-BXVPL7-20210203102416

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370402
Report Date: 02/03/2021
Date Signed: 02/03/2021 10:24:24 AM

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:	DR. JONAS SALK SCHOOL READINESS ROOM		FACILITY NUMBER:	304370402
ADMINISTRATOR:	GONZALEZ, ROSALINDA		FACILITY TYPE:	850
ADDRESS:	1411 S. GILBERT		TELEPHONE:	(714) 527-5143
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	72	CENSUS: 0	DATE:	02/03/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Director Early Childhood Education: Ms. Harvey Irene		TIME COMPLETED:	10:30 AM

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Licensing Program Analyst (LPA) Ketki Desai conducted an announced Case Management Licensee initiated inspection for a change in capacity along with change of classroom locations.

Facility currently is licensed for 72 preschool age children ages 3-5 in the three licensed rooms (40,70, and 3B) on Magnolia School District campus- Dr Jonas Salk School Readiness program.

Facility currently is requesting to decrease the formerly approved capacity to 56 preschool age children to the new classrooms (Portable 1A and 1B, and continue to use classroom #3B.)

LPA met with Facility Administrator (Early Childhood Education Director) Ms. Harvey Irene, who gave a tour of the three Preschool classrooms. There were no children present at the time of this inspection.

Facility shall now use portable # 1A, 1B and classroom 3B, along with the shared play- yard and the restrooms with SDC (Special Day class) Preschool and new waiver shall be submitted once the children return back to the campus.

All the three rooms were measured on today’s inspection, measurements for indoor capacity is as follows

1A (Portable): 23’17 X 29’33 = 679’58 (19 children)

1B (Portable): 23’17 X 29’33= 679’58 (19 children)
3B(Classroom): 39.08 X 23’08= 901’97 (26 children)

Total indoor capacity: 2261’12 divided by 35 = 64.60 (65 children)

9 Toilets : (2 Urinals and 8 toilets) = 135 children
8 Sinks=120 children

Outdoor yard: Shared with SDC Preschool children. (Page-1)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: DR. JONAS SALK SCHOOL READINESS ROOM	FACILITY NUMBER: 304370402
	VISIT DATE: 02/03/2021

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The preschool rooms were observed to have age and size appropriate, furniture, activities, toys and educational items.

Based on today's inspection facility has enough space for the requested capacity of 56 Preschoolers (3 – 5 years). Monday to Friday 8.00 am to 4.00 PM. (AM Session: 8.00 am – 11.00 am) and PM session (12.00 -3.00 PM).

Fire clearance was granted through Anaheim Fire Prevention office.

Administrator Ms. Harvey, Irene is current on the required CPR training (9/21) and facility is in process of completing the new Water testing requirement

License shall be granted after the final approval by the management.

Report was read to the Facility Administrator and appeal rights were provided.

Notice of site visit posted.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

LIC809 (FAS) - (06/04)

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