<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371026
Report Date: 03/24/2022
Date Signed: 03/24/2022 02:09:48 PM


Document Has Been Signed on 03/24/2022 02:09 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:SUNFLOWER PRESCHOOL CENTER & CHILD CAREFACILITY NUMBER:
304371026
ADMINISTRATOR:PHAM, TANYAFACILITY TYPE:
850
ADDRESS:11792 GARDEN GROVE BLVD.TELEPHONE:
(714) 534-3916
CITY:GARDEN GROVESTATE: CAZIP CODE:
92843
CAPACITY:60CENSUS: 47DATE:
03/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Tracy Nguyen, DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A case management visit was conducted on this date by LPA Nguyen. Upon arrival LPA met with director Tracy Nguyen and toured the facility. Census was taken as follow: 47 preschool children with 6 staff including the director. This program operates from 7:00am-6:00pm. All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with sink, toilet, and mat/cot were inspected. Availability of drinking water was reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records were made. Disaster drills, posting requirements, children records, mandated child abuse and injury/ death reporting, were also reviewed.

Facility provides breakfast, lunch, and dinner to children every day. There are snacks and juice available and are appropriate to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Cleaning and food supply storage areas were also observed.

Outdoor equipment was inspected for safety, cushioning material, good repair, and age appropriateness. Required shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water.

Teacher child ratios were observed and staff names recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Staff was questioned to establish their familiarity of emergency reporting requirements, emergency disaster plans and other site operations.

Sign in and out sheets were reviewed and procedures regarding center’s policy of checking children for illnesses were also discussed. Personal Rights of children were discussed and observed by LPA.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: SUNFLOWER PRESCHOOL CENTER & CHILD CARE
FACILITY NUMBER: 304371026
VISIT DATE: 03/24/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
A review of children’s & Staff records were reviewed to identify that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also observed Health Screenings and verification of CPR/First Aid ( Exp: 01/2024) and Preventative Health Practices.

After a tour of the center and review of children's records, no deficiency was observed.

Web address for downloading forms or regulations was provided.

Exit interview was conducted. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2