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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370255
Report Date: 03/11/2025
Date Signed: 03/12/2025 09:29:14 AM

Document Has Been Signed on 03/12/2025 09:29 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:LIL' LIGHTHOUSE PRESCHOOLFACILITY NUMBER:
304370255
ADMINISTRATOR/
DIRECTOR:		MENASHE, MARGEFACILITY TYPE:
850
ADDRESS:301 MAGNOLIA STREETTELEPHONE:
(949) 631-7294
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 17DATE:
03/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Marge Menashe (Director) TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On 3/10/2025 an Unusual Incident Report was filed with the Department to self-report an incident that occurred on 3/6/2025, Child #1 C1, who was found in the parking lot outside the gate, left unattended.

During the course of the investigation, LPA interviewed Center Director Marge Menashe, and 4 staff members, attempted to interview the children, obtained a copy of the children's roster, review Child #1 file, sign-in/out on the day of the incident.

Due to additional Interview information needed, the report incident needs further investigation.

An exit interview was conducted. The Notice of Site Visit was posted for at least 30 consecutive days. Appeal Rights were explained.

The End of Report.

SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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