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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371180
Report Date: 04/09/2024
Date Signed: 04/09/2024 02:12:33 PM


Document Has Been Signed on 04/09/2024 02:12 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:LOOK WHO'S LEARNING PRESCHOOLFACILITY NUMBER:
304371180
ADMINISTRATOR:ASHLEY BUCKNERFACILITY TYPE:
830
ADDRESS:5802 SANTA CATALINA AVE.TELEPHONE:
(714) 893-1980
CITY:GARDEN GROVESTATE: CAZIP CODE:
92845
CAPACITY:27CENSUS: 15DATE:
04/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Assistant Director, Adame, KasaTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Cindy Nguyen conducted a Case Management due to deficiencies observed. Upon arrival LPA met with Adame, Kasa, Assistant Director who accompanied LPA on a tour of the facility. Census was taken as follow: 8 infant children with 2 staff members and 7 napping toddlers with 1 staff member. A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

During the inspection on 03/05/2024, LPA learned that the infants and toddler’s classrooms are combined in the preschool building due to a flood. Licensee confirmed that the infant and toddler’s classrooms from the infant license and building are now combined into the preschool license building which was not on license terms. Licensee stated the combined have been since 02/26/2024 due to a flood. Based on observation and interview with the Licensee, California Code of Regulations, Title 22, 101212(c) Reporting Requirements is being cited on the attached LIC9099D.


Exit interview was conducted with the Assistant Director, Adame, Kasa. Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:
DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/09/2024
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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Document Has Been Signed on 04/09/2024 02:12 PM - It Cannot Be Edited

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: LOOK WHO'S LEARNING PRESCHOOL
FACILITY NUMBER: 304371180

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2024
Section Cited
CCR
101212(c)

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101212 (c) Reporting Requirements (c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor ...Such structural changes shall include, ... room additions. This requirement is not met as evidenced by:
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LPA received the noticed of facility closure as of 04/30/2024.
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Based on observation and interview, the licensee failed to report the department in writing prior to making any structural changes. This poses a potential Safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Cindy NguyenTELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:
DATE: 04/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/09/2024
LIC809 (FAS) - (06/04)
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