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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314230
Report Date: 08/31/2023
Date Signed: 08/31/2023 03:47:52 PM

Document Has Been Signed on 08/31/2023 03:47 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ALVAREZ, YESSYCAFACILITY NUMBER:
304314230
ADMINISTRATOR:ALVAREZ, YESSYCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3239163412
CITY:SANTA ANASTATE: CAZIP CODE:
92704
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
08/31/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Yessica AlvarezTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA's) Karen Navar and Vivian Trinh conducted a Plan of Corrections (POC) visit on 8/31/2023 with Licensee Yessyca Alavarez. The purpose of the visit was to clear deficiencies, and it was stated to the licensee upon entry.

LPA toured the home upon arrival. Census was taken 4 children and 1 infant to 1 adult.

LPA consulted with the licensee regarding the garage and gate leading to off limits area. LPA’s observed that garage was not being used and baby safety gate was up making the off limits area in accessible.

LPA requested to reviewed LIC 9224. Licensee cleared the deficiency and completed LIC9224 for children in care.

LPA observed 4 children and 1 infant at the tables eating snack.

LPA read over report with Yessyca Avarez.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The facility was in compliance.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2023
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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