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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370748
Report Date: 10/22/2021
Date Signed: 10/22/2021 01:05:27 PM

Document Has Been Signed on 10/22/2021 01:05 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SERRANO HEIGHTS ACADEMYFACILITY NUMBER:
304370748
ADMINISTRATOR:ANDERSON, MISTYFACILITY TYPE:
850
ADDRESS:6513 E. SERRANO AVENUETELEPHONE:
(714) 998-9091
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 14DATE:
10/22/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Administrator Ms. Anderson, Misty TIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced Case Management, Licensee initiated inspection for a change in capacity for Preschool age children.

Licensee is requesting a decrease to the current Preschool capacity from 75 Preschool children to 63 preschool age children (2-6 years old). Room # 2,3 and 4 are licensed as Preschool rooms.

The Licensee shall remove Room # 2 from the Preschool age License and decrease the capacity to 63 preschool age children.

Room # 2 is now being added to the Infant License.

LPA met with Facility Administrator Ms. Anderson, Misty who gave a tour of the Preschool classrooms. Current census today in two rooms was 14 preschool age children with 2 teachers. Room # 2 was not in use.

All areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair in the preschool rooms.



LPA measured Room # 3 and 4 to obtain Indoor measurements

Room # 3: 31’42 x 27’92= 877’25
Room # 4: 35’92 x 26’17= 940’02

Total Indoor capacity: 1817’92 divided by 35 = 51’92 (52 children)

Total Sinks: 8 x 15= 120


Total Toilets: 9 x 15= 135
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370748
VISIT DATE: 10/22/2021
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Outdoor Activity Space: LPA also measured the current Preschool yard due to changes in capacity.

Preschool yard: 45’42 x 45 = 2043’90
Total outdoor space: 2043’90 divided by 75 = 27’25

Based on today's inspection facility has indoor space to accommodate only 52 preschool age children (2-6 years old) in two assigned rooms # 3 and 4. It does not have sufficient space to accommodate 63 children as requested on the application.
Facility shall also request a Waiver for Outdoor staggered schedule in-between the two classrooms.

Administrator Ms. Anderson, Misty is current on the required CPR training (7/23)

License for 52 Preschool age children (2-6 old) in Room # 3 and 4. Monday to Friday (6:30 AM – 6:00PM) shall be granted after the final approval by the management.

Report was read to the Facility Administrator and appeal rights were provided.

Notice of site visit posted
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
LIC809 (FAS) - (06/04)
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