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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270915
Report Date: 01/09/2024
Date Signed: 01/09/2024 11:13:18 AM

Document Has Been Signed on 01/09/2024 11:13 AM - 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:JESUS' HANDS PRESCHOOLFACILITY NUMBER:
304270915
ADMINISTRATOR:CHOI, SOON JAFACILITY TYPE:
850
ADDRESS:5621 BEACH BLVD.TELEPHONE:
(714) 690-1366
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY: 90TOTAL ENROLLED CHILDREN: 45CENSUS: 5DATE:
01/09/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Soon Ja ChoiTIME COMPLETED:
11:30 AM
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On 1/9/2024, LPA Silva conducted a Legal/Non-Compliance inspection assisted by licensee Soon Ja Choi. Upon arrival the licensee was informed of the reason for the visit. Census was taken; 5 preschool children were being supervised by one qualified teacher in room one. An on-site Facility Personnel Report Summary review showed that all facility staff or other individuals who require background checks have received criminal record and child abuse index clearances or exemptions.

Korean interpreter ID83998639 from Focus Interpreting helped the LPA communicate with the director until the director assistant arrived at around 9:00 am. During the visit, the LPA checked that the procedures agreed upon during the noncompliance office meeting had been implemented at the facility.

Children’s Roster: The office assistant will inquire weekly with the director/licensee about newly enrolled children to update the roster. The director assistant stated that she meets with the director on Fridays to ensure the children’s roster is up to date. The roster was check during the inspection for compliance.

Child’s Records: The office assistant will inquire weekly with the director/licensee about newly enrolled children to update child’s records. The director assistant stated that director/licensee Choi checks new enrollee’s forms for completeness. The director assistant double checks the forms. During the visit, 10 children files were reviewed for compliance.

Teacher Qualification & Teacher Aide Qualifications and Duties: The director/licensee will include a checklist of form that are required for all staff that shows the teacher/aide is qualified to perform a specific job function. This includes transcripts and mandated reporter certification, Pediatric CPR/First Aid certification. During the visit five staff files were checked for compliance.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: JESUS' HANDS PRESCHOOL
FACILITY NUMBER: 304270915
VISIT DATE: 01/09/2024
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Receipts of Licensing Reports LIC 9224: The licensee will keep the LIC9224 for all licensing reports that require a receipt. The receipts were checked during the visit; the facility is in compliance.

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 deficiencies 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 was conducted and the report was reviewed with the director.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
LIC809 (FAS) - (06/04)
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