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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370477
Report Date: 08/07/2023
Date Signed: 08/07/2023 01:39:23 PM

Document Has Been Signed on 08/07/2023 01:39 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:ANAHEIM ELEMENTARY SCHOOL DISTRICT LOARAFACILITY NUMBER:
304370477
ADMINISTRATOR:JELINEK, VIVIANAFACILITY TYPE:
850
ADDRESS:1601 WEST BROADWAYTELEPHONE:
(714) 517-7123
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Linda DurandTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of moving from Room 7 to Room. The facility is licensed for 24 children in Room 7. The facility is not changing capacity. LPA met with Lynda Durand, School Readiness Coordinator from Office of Early Childhood Education with Anaheim Elementary School District and site supervisor, Hanan Rizkalla who toured the facility with LPA. There were no children present. The licensee has requested to provide care and supervision for 24 preschool children in room A for ages 2 to 5 years old, Monday through Friday, 7:30 a.m. to 4:00 p.m.
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 employees of Anaheim Elementary School District)
The State Preschool is a Title 5 Program that offers two morning and afternoon sessions. Morning hours are from 8:am and afternoon sessions are from 12:00 noon to 3:00 pm. The facility provides morning breakfast and afternoon lunch to children. Children do not nap in this program. The children are dropped off and are singed in and out at the entrance gate from the parking lot. The facility has not met all the posting requirements.
The indoor activity space measurement for the current requested capacity is as follows:
Room A is 770 square feet divided by 35 square feet = 22 children
There is one sink in the classroom.
The preschool is sharing the playground with TK and Kindergarten programs. There is a waiver to share playground for this site on file. There are 2 toilets and 2 sinks in the girls bathroom with posted signs that are designated for this site. There is a waiver to share restroom for this site on file.
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2023
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: ANAHEIM ELEMENTARY SCHOOL DISTRICT LOARA
FACILITY NUMBER: 304370477
VISIT DATE: 08/07/2023
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The classroom is equipped with carbon monoxide detector. The site supervisor, Hanan Rizkalla is current on CPR and 1st aid which expires 3/2025.
The playground is equipped with climbing structure /slide and swings with adequate of cushioning materials.
Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Orange county Fire authority has approved the requested capacity of 24 preschool children. However the room accommodates 22 preschool children.
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.

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 the applicant on file, Lynda Durand.

Based on today’s measurements, the sinks and toilets availability, the request of the facility for moving to Room A with a capacity of 22 children will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.


The following are needed before an updated license is issued

1- Securing 4 peaces of furniture in dramatic area such as kitchen, refrigerator, sink, and stove.

2- The children playground is not completely fenced off. There is one small area connect to the hallway of the elementary school leading with a push bar door to parking lot is open. That area shall be fenced off completely.

3- Final picture of all the required licensing posting.

End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2023
LIC809 (FAS) - (06/04)
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