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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300606472
Report Date: 12/10/2024
Date Signed: 12/10/2024 01:19:28 PM

Document Has Been Signed on 12/10/2024 01:19 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:U.C. IRVINE-VERANO PRESCHOOLFACILITY NUMBER:
300606472
ADMINISTRATOR/
DIRECTOR:
BAE, LESLIEFACILITY TYPE:
850
ADDRESS:3300 SOUTH VERANO ROADTELEPHONE:
(949) 824-4755
CITY:IRVINESTATE: CAZIP CODE:
92617
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: DATE:
12/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Program Director, Laura FinleyTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Castro conducted a case management inspection to follow up on a self-report unusual incident that was submitted to CCL Regional Licensing Office on 11/26/2024. It was reported by Leslie Josephson, Director via phone. According to the Director, the unusual incident occurred on 11/25/2024 between 11:00am and 12:00pm. Child 1 (C1) parent/caregiver stated a concern about an incident where Child 2 (C2) pulled down C1's pants and touched their private area in the tunnel of the play structure.

During today's inspection a tour of the facility was conducted and census was taken: LPA observed 14 children in the shared classroom with 3 teachers. LPA observed children getting ready to eat snack and play outside. During today's inspection, the facility was observed operating within its licensed capacity and within compliance of staff to child ratios. 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.

All staff were interviewed. LPA was informed that supervision plan has been modified to ensure that supervision can be maintained during all angles of the playground. According to staff, C1 and C2 will be closely monitored if playing together. Children were also interviewed.

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 and deficiency were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Laura Finley.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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