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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304311836
Report Date: 12/12/2022
Date Signed: 12/12/2022 10:58:52 AM

Document Has Been Signed on 12/12/2022 10:58 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:ALDANA, MARIAFACILITY NUMBER:
304311836
ADMINISTRATOR:ALDANA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 458-7780
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
12/12/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria AldanaTIME COMPLETED:
11:20 AM
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Licensing Program Analysts (LPA's) Thompson and Lucero conducted an on site inspection for the purpose of a Plan of Correction (POC) inspection. LPA and licensee toured the facility inside and outside. LPA observed 6 children along with licensee and assistant. Out of the 6 children, 4 were infants. This POC inspection is being done in response to two Type an A violations cited on 12/8/2022 for Staffing Ratio and Capacity and Personal Rights.

A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's inspection, it was observed that the licensee was in compliance of ratio regulation and personal rights. Licensee has corrected the Type A violations cited on 12/8/2022.

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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee.


This report dated 12/12/2022 was translated to licensee in Spanish by LPA Lucero.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2022
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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