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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371515
Report Date: 10/15/2021
Date Signed: 10/15/2021 03:40:57 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:LITTLE SUNSHINE HOUSEFACILITY NUMBER:
304371515
ADMINISTRATOR:BETONTE, NINAFACILITY TYPE:
830
ADDRESS:4111 KATELLA AVENUETELEPHONE:
(562) 810-1887
CITY:LOS ALAMITOSSTATE: CAZIP CODE:
90720
CAPACITY:31CENSUS: 12DATE:
10/15/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Director Ms. Betonte, Nina TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management (Licensee initiated) inspection to measure the new Infant yard.

Currently Room # 5 (Infant room) uses the yard located in the back entrance of the classroom that accommodates 8 Infants along with a Waiver for a rotating schedule for approved 14 Infants.

Upon arrival LPA, observed 2 staff with 8 infants in the new Infant yard, they were seated on a blanket under the shaded area. The new yard is still pending approval.

Currently facility is licensed for 14 Infants (8 weeks -24 months) in Room # 5 and 17 Toddlers (18 months to 36 months) in Room # 4. Total capacity of 31

Each component has a separate yard.

On today’s inspection, the new Infant yard, located in front of the classroom was measured, with following measurements

AREA IDENTIFICATION LENGTHWIDTH
AREA
ENCUMBERED
SPACE
New Infant yard
48.33
22
1063.26
1063.26

Total outdoor space = 1063’26 Sq. ft divided by 75= 14’18 (14 infants)

The facility has enough outdoor space to accommodate 14 infants in the new yard located outside Room # 5.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
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: LITTLE SUNSHINE HOUSE
FACILITY NUMBER: 304371515
VISIT DATE: 10/15/2021
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The yard is fenced with proper shade, but the outer space surface is not safe for the Infant age group, it was observed to have hard open ground, with dry grass and outdoor toys have been placed over it. It was not safe for Infant use.

Fire clearance from City of Orange office has been received on 10/14/21 and approved for the use of the yard

Based on today’s outdoor measurements on the Infant yard, it can accommodate the capacity of 14 Infants but till the surface is made safe for infants to crawl or play on it. Till than facility shall continue to use the infant yard located in the back which has been approved.

At this time the new Infant yard is not safe for outdoor activities for enrolled Infants in the program. Facility Director has been advised to refrain the use of the new yard till the outer surface is safe for Infant use and approved by the Department.

Technical Violation Advisory note was issued on today’s inspection.


A copy of this report, Appeal rights were presented to the Facility Director Ms. Betonte, Nina

Exit interview conducted. 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 it will result in civil penalties of $100.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
LIC809 (FAS) - (06/04)
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