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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370553
Report Date: 10/25/2021
Date Signed: 10/25/2021 10:57:03 AM

Document Has Been Signed on 10/25/2021 10:57 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:OKA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
304370553
ADMINISTRATOR:GREEN, MONAFACILITY TYPE:
850
ADDRESS:9800 YORKTOWN AVENUE ROOM B6TELEPHONE:
(714) 962-4099
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY: 65TOTAL ENROLLED CHILDREN: 65CENSUS: 0DATE:
10/25/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Facility Representative : Ms.Bonifay.Rena TIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management Licensee initiated inspection for a change in capacity by removing rooms.

Upon arrival the school representative contacted Director Ms. Green Mona notifying CCL’s arrival, she indicated, having someone arrive there shortly.

Currently the program is not operating due to construction on the school site and the rooms were inaccessible for inspection.

Ms. Bonifay. Rena and LPA clarified the room changes and capacity requested, It was completely different with the application received on 9/14/2021.

Now the facility wants to remove all the three currently licensed rooms (B2/ B3 and B6) and add a new room B7 with a capacity of 24 Preschool children ages 3-5.

Since Room # 7 was not licensed, LPA have requested the facility representative to submit a new application with the addition of new room B# 7 as a Fire clearance is required and a letter indicating the closure of the formerly licensed rooms.

Facility Representative Ms. Bonifay. Rina agreed to submit a new application.

Appeal Rights were presented, and a Notice of site visit was given to the facility representative.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2021
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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