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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371489
Report Date: 04/11/2022
Date Signed: 04/11/2022 12:21:53 PM

Document Has Been Signed on 04/11/2022 12:21 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:OUR TRIBE OUR VILLAGE CHILDCARE CENTERFACILITY NUMBER:
304371489
ADMINISTRATOR:MARIN, QUASHANIKAFACILITY TYPE:
850
ADDRESS:6441 LINCOLN AVENUETELEPHONE:
(562) 999-6783
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 20DATE:
04/11/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:43 AM
MET WITH:Director Quashanika MarinTIME COMPLETED:
12:25 PM
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On 04/11/2022, Licensing program analyst (LPA) Tina Nguyen conducted a follow-up proof of correction inspection, met with Director Quashanika Marin who guided the analyst on a tour of the facility. LPA observed 5 toddler children with 1 staff in the toddler classroom; 15 preschool children with 3 staff members are playing outdoor. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility is operating within its licensed capacity and within compliance of staffing ratios.

The following deficiency that was previously cited on a LIC 809 dated 04/05/2022 regarding Limitations on Capacity and Ambulatory Status has been cleared

1. LPA observed 5 toddler children with 1 staff in the toddler classroom; 15 preschool children with 3 staff members are playing outdoor during today's inspection.

LPAs observed the Notice of Site Visit, the LIC 809 Facility Evaluation Report, and the LIC 809D from the previous visit dated 04/05/2022 posted at the posting board. Acknowledgement of Receipt of Licensing Reports LIC 9224 was also observed in the child's file.

No deficiency observed during today's inspection.

An exit interview was conducted, and a copy of this report was provided to licensee.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2022
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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