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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370632
Report Date: 06/07/2023
Date Signed: 06/08/2023 05:56:53 PM


Document Has Been Signed on 06/08/2023 05:56 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:OC KIDS CHILDCARE INC.FACILITY NUMBER:
304370632
ADMINISTRATOR:DIAZ, AMYFACILITY TYPE:
830
ADDRESS:10160 DENNI STREETTELEPHONE:
(714) 484-7844
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY:10CENSUS: 0DATE:
06/07/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:LicenseeTIME COMPLETED:
11:00 AM
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An Office Meeting was conducted on this day in the Orange Regional Office. Present during the meeting were Licensing Program Manager (LPM) Thuy Ho, Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek, and licensees, Casie Hollenbeck and Karissa Degener.

The purpose of this meeting is to discuss the facility's outstanding balances for the infant program facility # 304370362 and the preschool program facility # 304370444.

The facility has requested to increase the number of infants and toddlers from 10 children to 20 children and decreasing the preschool capacity from 71 to 47 children.

The following were discussed in today's meeting. The documents were reviewed regarding missing payments and late fees in the past. The licensees were informed that the late fees are waived from the previous annual late fees.

The licensees were advised that requesting of changing capacity for both licenses shall be done after resolving the outstanding fees issue.

The licensees agreed to pay the balances left on accounts for both the infant and preschool licenses. Two payments were submitted to our office today for this purpose.

The licensees were reminded of outstanding balances on the other owned facility, Landell Preschool # 304370451.

The licensee were provided a copy of their appeal right (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional Manager; address is above on the report.

End of repot

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023
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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