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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304371144
Report Date:
06/15/2023
Date Signed:
06/15/2023 10:34:59 AM
Document Has Been Signed on
06/15/2023 10:34 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:
LITTLE MINDS INFANT TODDLER
FACILITY NUMBER:
304371144
ADMINISTRATOR:
AMARATUNGE, NAYOMI
FACILITY TYPE:
830
ADDRESS:
1035 WEST LA PALMA AVENUE
TELEPHONE:
(714) 603-7388
CITY:
ANAHEIM
STATE:
CA
ZIP CODE:
92801
CAPACITY:
38
TOTAL ENROLLED CHILDREN:
38
CENSUS:
18
DATE:
06/15/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:15 AM
MET WITH:
Director, Nayomi Amaratunge
TIME COMPLETED:
11:00 AM
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A Case Management inspection conducted on this by by Licensing Program Analyst (LPA) Dianna Valdez Santana to issue an amended annual report and update the 809 D page dated 06/08/2023. Met with Director Nayomi Amaratunge. LPA observed 5 staff and 18 children in care during today's visit.
Please see "Amended" report dated 06/08/2023 809 D page for correction.
Exit interview was conducted.
SUPERVISORS NAME
:
Thuy Ho
LICENSING EVALUATOR NAME
:
Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/15/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/15/2023
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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