<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
300604021
Report Date:
10/10/2023
Date Signed:
10/18/2023 12:38:44 PM
Document Has Been Signed on
10/18/2023 12:38 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
ORANGE COUNTY CC RO
,
750 THE CITY DRIVE, SUITE 250
ORANGE
,
CA
92868
FACILITY NAME:
YMCA-EADER PROGRAM CENTER
FACILITY NUMBER:
300604021
ADMINISTRATOR:
SABEDRA-TAYLOR, MEGAN
FACILITY TYPE:
840
ADDRESS:
9291 BANNING AVE
TELEPHONE:
(714) 968-3638
CITY:
HUNTINGTON BEACH
STATE:
CA
ZIP CODE:
92648
CAPACITY:
96
TOTAL ENROLLED CHILDREN:
96
CENSUS:
0
DATE:
10/10/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
01:30 PM
MET WITH:
Director Andrea Hill
TIME COMPLETED:
04:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
SUPERVISORS NAME
:
Patricia Magana
LICENSING EVALUATOR NAME
:
Romelia M Castanon
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/10/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
1