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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371218
Report Date: 06/18/2024
Date Signed: 06/18/2024 09:09:14 AM

Document Has Been Signed on 06/18/2024 09:09 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:LITTLE MINDS LEARNING CENTERFACILITY NUMBER:
304371218
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, AMANDAFACILITY TYPE:
850
ADDRESS:8760 CERRITOS AVETELEPHONE:
(714) 699-1111
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 16DATE:
06/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Director Amanda GonzalezTIME VISIT/
INSPECTION COMPLETED:
09:25 AM
NARRATIVE
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On 06/18/2024 at 8:40am, a Case Management visit was conducted to issue a LIC421IM (Immediate Civil Penalty) in the amount of $500.00 for a deficiency cited on 05/30/2024. The facility was cited for Responsibility for Providing Care and Supervision.

LPA met with staff Xitlalit Franklin and explained the reason of visit. Census was taken in individual classrooms. There were 16 children (including 4 toddlers) and 3 staff upon arrival. Director Amanda Gonzalez arrived at 9:00am to continue with the visit.

During the inspection, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

An exit interview was completed with director Amanda Gonzalez. The report was reviewed and discussed. The director was provided a copy of the appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights. A "Notice of Site Visit" was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
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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