304371464-12-6-2021-06-CC-KDEI-C9FR7C-20211206114608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371464
Report Date: 12/06/2021
Date Signed: 12/06/2021 11:46:14 AM

Document Has Been Signed on 12/06/2021 11:46 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:	SMILES MONTESSORI CHILDCARE		FACILITY NUMBER:	304371464
ADMINISTRATOR:	AHN, SUNG JA		FACILITY TYPE:	850
ADDRESS:	2261 NORTH ORANGE OLIVE ROAD		TELEPHONE:	(714) 283-2857
CITY:	ORANGE	STATE: CA	ZIP CODE:	92865
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 12	DATE:	12/06/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator: Ms. Ahn, Sung Ja		TIME COMPLETED:	12:00 PM

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Licensing Program Analyst (LPA) Desai, Ketki conducted an unannounced Case Management, Licensee initiated inspection for a change in capacity for Preschool age children.

Licensee is requesting a change to the current Preschool capacity from 48 Preschool children to 40 preschool age children (2-6 years old) in Room # 5 & 6.

LPA met with Facility Administrator Ms. Ahn, Sung Ja who gave a tour of the Preschool classrooms. Current census today in two rooms was 12 preschool age children with 2 teachers.

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

Measurements taken on 3/3/2021 remains current

The indoor activity space: There are two assigned rooms,

ROOM IDENTIFICATION	LENGTH	WIDTH	AREA	ENCUMBERED	SPACE
Preschool Room # 5	35.33	33.5	1183.56	33.75	1149.81
Preschool Room # 6	31.25	33.08	1033.75	32.11	1001.64

Total indoor space =2151.45 divided by 35= 61.47 (61 children)
Capacity requested: 40 Preschool children

Total sinks: 6 X 15= 90 (children)
Total Toilets: 6 X 15= 90 (children) (2 urinals and 1 toilet in the boy’s toilet and 3 Toilets in the girl’s toilet)

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Ketki Desai
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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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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: SMILES MONTESSORI CHILDCARE	FACILITY NUMBER: 304371464
	VISIT DATE: 12/06/2021

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LPA observed 1 sink in each classroom and separate bathrooms for Boys and Girls located outside the classrooms. Toilets and sinks were observed to age appropriate in all the bathrooms observed. Bathrooms were clean and accessible to children.

Outdoor Activity Space: The facility has Preschool yard in front of the classrooms and measurements taken on 3/3/2021 remains current.

Outdoor space measurements: Preschool yard: 72’25 X 60’25 = 4353’06

Total Outdoor space: 4353’06 divided by 75 = 58’04 (58 children)

Based on today's inspection facility has enough indoor /outdoor space / toilets and sinks to accommodate 40 preschool age children (2-6 years old) in two assigned rooms # 4 and 6.

Administrator Ms. Ahn, Sung Ja is current on the required CPR training (11/23)

License for 40 Preschool age children (2-6 old) in Room # 5 and 6. 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: 12/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

LIC809 (FAS) - (06/04)

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