304370150-1-4-2024-06-CC-MQUO-CZ6NK6-20240104093125

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370150
Report Date: 01/04/2024
Date Signed: 01/04/2024 09:31:28 AM

Document Has Been Signed on 01/04/2024 09:31 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	NOBIS PRESCHOOL		FACILITY NUMBER:	304370150
ADMINISTRATOR:	MELINDA MARCHESE		FACILITY TYPE:	830
ADDRESS:	190 EAST 15TH STREET		TELEPHONE:	(949) 548-2550
CITY:	COSTA MESA	STATE: CA	ZIP CODE:	92627
CAPACITY: 29	TOTAL ENROLLED CHILDREN: 29	CENSUS: 14	DATE:	01/04/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Melinda Marchese, Director		TIME COMPLETED:	10:00 AM

NARRATIVE

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LPA Quinto conducted a Case Management inspection, on today's date 1/04/2024.

The overall census observed was 14 infant children and 5 infant staff. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The purpose of today's Case Management inspection is to deliver and obtain a signature on an amended LIC 809 Facility Evaluation Report to update the accommodated capacity from 32 to 29 based on the indoor square footage.

This report and the amended report were discussed, and both reports were signed, and a copy was left with Melinda Marchese.

Exit Interview was conducted.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

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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