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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304371468
Report Date:
07/19/2023
Date Signed:
07/19/2023 02:44:27 PM
Document Has Been Signed on
07/19/2023 02:44 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:
SERENDIB ANAHEIM LLC, DBA LITTLE MINDS LEARNING AC
FACILITY NUMBER:
304371468
ADMINISTRATOR:
LUCERO RUBI
FACILITY TYPE:
830
ADDRESS:
1845 WEST LA PALMA
TELEPHONE:
(714) 215-4293
CITY:
ANAHEIM
STATE:
CA
ZIP CODE:
92801
CAPACITY:
20
TOTAL ENROLLED CHILDREN:
0
CENSUS:
8
DATE:
07/19/2023
TYPE OF VISIT:
Case Management - Legal/Non-compliance
UNANNOUNCED
TIME BEGAN:
12:20 PM
MET WITH:
Maria Rodriguez, Area Director & Angelica Borgos, Director
TIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) P Rivas conducted an unannounced case management visit to determine compliance in regulations. Upon entrance Ms. Lyndsy Mondragon was leaving room3 (toddler ) on way to restroom. There were no children in area. LPA spoke with cook who telephoned new Director Angie Burgos who was on a field trip. After speaking with Director on the telephone LPA commenced walk through room 2 (infant room) and room 3 (toddler room). LPA observed four infants sleeping and one teacher in the infant room. LPA observed 4 toddlers napping in the toddler room and one teacher.
LPA was advised that as part of the hiring practice is to have prospective employee observe the teacher. LPA was advised by Maria Rodriguez that prospective employee is not left alone with children. LPA verified information with prospective employee via telephone.
Director Angie Burgos arrived later and continued to assist with visit.
LPA completed physical plant tour and reviewed four infant files. During visit Parents provided Director with a few updates and items were placed in file.
During today's visit no deficiencies were cited under the California Code of Regulations Title 22 .
An exit interview was conducted with Angelica Borgos . Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the Regional Manager to the address listed.
SUPERVISORS NAME
:
Rina Lopez
LICENSING EVALUATOR NAME
:
Pat Rivas
LICENSING EVALUATOR SIGNATURE
:
DATE:
07/19/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/19/2023
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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