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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371250
Report Date: 09/10/2020
Date Signed: 09/10/2020 02:37:53 PM

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:CANYON HILLS CHILDCARE/CANYON HILLS FRIENDS CHURCHFACILITY NUMBER:
304371250
ADMINISTRATOR:RICE, SHARLENEFACILITY TYPE:
850
ADDRESS:20400 FAIRMONT CONNECTORTELEPHONE:
(714) 290-3993
CITY:YORBA LINDASTATE: CAZIP CODE:
92866
CAPACITY:40CENSUS: 23DATE:
09/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator Rice SharleneTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management Licensee initiated inspection today on site. LPA met with facility Administrator Ms. Rice Sharlene, who came out and gave access into the facility.
On today's inspection the toddler option is being removed from the Preschool license ( Room # 102(Yello w room) and is now being added to the Infant License.
Preschool has two classrooms (Red room and Blue room) there is no change in capacity. Two rooms were measured with following measurements

Red room : 22.92 x 23.75 = 544.35
Blue room: 42 x 23.75 = 997.50

Total Sq ft area= 1541.85 divided by 35= 44.05

3 sinks = (3x15= 45)
4 toilets (4x15 =60)

The assigned two classrooms have sufficient space to accommodate the total capacity of 40 Preschoolers, age (2-6 years old) Monday to Friday 7.00 am -6.00 PM.

Administrator Ms. Rice Sharlene is in process of obtaining the water testing report for the facility.

This report and the appeal rights were presented to the Administrator Ms. Rice Sharlene.
Exit interview conducted and Notice of Site visit issued
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020
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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