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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371547
Report Date: 06/15/2022
Date Signed: 06/15/2022 10:19:07 AM


Document Has Been Signed on 06/15/2022 10:19 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:ORANGE TREE CHRISTIAN PRESCHOOLFACILITY NUMBER:
304371547
ADMINISTRATOR:JUNG, CHRISTINEFACILITY TYPE:
850
ADDRESS:2115 NEWPORT BLVD.TELEPHONE:
(949) 458-1382
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY:72CENSUS: 0DATE:
06/15/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Owner/ Applicant Ms. Leslie Lucy TIME COMPLETED:
10:30 AM
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Applicant Ms. Leslie Lucy Licensing Program Analyst (LPA) Ms. Ketki Desai conducted an announced on site pre-licensing inspection at the childcare center. It is a New center. LPA met with the Owner/ Applicant Ms. Leslie Lucy who gave a tour of the Child Care Center on the premises of The Crossing Church. Three rooms and outdoor play yard is designated to the Child Care Center.

The applicant has requested to provide care and supervision for 60 Pre-school age children 2 to 6 years of age, Monday through Friday 7:30 AM. to 6.00 PM. in the assigned three classrooms. (Room # 101, 102 and 103)

Today's inspection the play structure on the Preschool yard was reinspected. The Original manufacturer label was for ages 5 and above not recommended for younger preschool age children.
The structure now has been modified and a new manufacture label has been posted which indicates it is appropriate for 2-12 ages of children.
LPA observed the height has been reduced and is completely safe for young preschool age children to play. The structure is placed on the a soft green turf serving as a cushion to absorb the fall.

Based on today's inspection the new play structure and preschool yard are appropriate for the preschool age children 2-6 years in the facility.

A license for 60 Preschool age children (2-6 years) in three assigned classrooms # 101/ 102 and 103. Monday to Friday 7.30 am to 6.00 PM, shall be issued upon management approval.

Report read and appeal rights presented to the applicant.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2022
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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