<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370804
Report Date: 01/17/2025
Date Signed: 01/17/2025 09:55:50 AM

Document Has Been Signed on 01/17/2025 09:55 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:ANAHEIM ELEMENTARY SCHOOL DISTRICT SUNKISTFACILITY NUMBER:
304370804
ADMINISTRATOR/
DIRECTOR:		JELINEK, VIVIANAFACILITY TYPE:
850
ADDRESS:500 NORTH SUNKIST STREETTELEPHONE:
(714) 517-8962
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 15DATE:
01/17/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Lead Teacher Rubid OrtizTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
(Page 1)

Licensing Program Analyst (LPA) Giselle Lucero conducted a case management inspection of the facility for the purpose of room change. LPA met with Lead Teacher Rubid Ortiz who gave a tour of the facility to LPA. Currently the facility is licensed for 24 preschool children in Room 9. LPA observed there were 3 preschool staff with 15 preschool children.

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 staff are exempt of this requirement due to staff being employed by Anaheim School District and they are fingerprint cleared under the school district).

The facility has requested to provide care and supervision to 24 preschool children in room 51. Monday to Friday from 7:30 A.M to 4:00 P.M. Room 51 measured a total of 963.97 square feet which is sufficient for the requested capacity. There are 2 sinks and 2 toilets for children’s use which is sufficient for the requested capacity. Room 51 has age appropriate toys and equipment.

The Anaheim fire authority approved the facility for maximum of 24 preschool children in room 51 approved on 12/19/2024.

(Continue to page 2)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ANAHEIM ELEMENTARY SCHOOL DISTRICT SUNKIST
FACILITY NUMBER: 304370804
VISIT DATE: 01/17/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Page 2)

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

Exit interview conducted and report was reviewed with Lead Teacher Rubid Ortiz. A notice of site visit was given and must remain posted for 30 days.



Based on today’s indoor measurements, the sinks and toilets available, the request of the facility to utilize room 51 is granted effective today’s date.

End of report

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2