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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371283
Report Date: 07/01/2022
Date Signed: 07/01/2022 02:30:49 PM


Document Has Been Signed on 07/01/2022 02:30 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:SHINE PRESCHOOL CENTERFACILITY NUMBER:
304371283
ADMINISTRATOR:BUEZIS, ALICIAFACILITY TYPE:
850
ADDRESS:2045 WEST BALL ROADTELEPHONE:
(714) 772-6030
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:30CENSUS: 10DATE:
07/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Alicia Buezis, DirectorTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) P Rivas conducted an unannounced annual inspection. LPA and Ms. Buezis Director toured the facility inside and outside, and the floor and yard plan (LIC 999) were verified. There are currently 16 children and three staff . Facility hours are 7:00a.m.- 6:00p.m., Monday through Friday.

During the inspection of the indoor activity space, items which could pose a danger to children (cleaning compounds) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Snacks are provided . Food prep areas were clean and sanitary. Food is properly stored. Floors, equipment, and furniture were clean and observed to be in good repair and free of sharp edges. There is drinking water available to children indoors via water dispenser and jugs. Children also bring in their own water bottles. The children's bathrooms are clean and sanitary. The last fire drill was conducted 05/01/22 and keeps documentation of drills. The facility has working smoke detectors, and working carbon monoxide detectors and at least one functioning fire extinguisher that Meets Fire Safety Regulations last serviced 10/21/21. Facility meets all posting requirements. The outdoor activity space was inspected for compliance. The playground is enclosed by a fence at least four feet in height and is in good repair. The surface of the outdoor activity space is maintained and free of hazards. The cushioning material around outdoor play equipment and other similar equipment appeared to be enough to absorbs falls. There are no bodies of water present at the facility. The inspected outdoor facility grounds are safe, sanitary and in good repair.

Due to time constraints LPA conducted a physical plant inspection, inspection of ratios and capacity, personal rights, care and supervision, food service. The review of staff and children records will be completed at the next visit, as soon as administratively possible.

(cont on 809c)
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2022
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SHINE PRESCHOOL CENTER
FACILITY NUMBER: 304371283
VISIT DATE: 07/01/2022
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In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Appeal Rights were discussed with Ms. Buezis. A notice of site visit was given and must remain posted for 30 days.Posting Requirements Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director, Buezis.To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC809 (FAS) - (06/04)
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