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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371585
Report Date: 06/19/2024
Date Signed: 06/19/2024 03:59:34 PM

Document Has Been Signed on 06/19/2024 03:59 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KIDDIE ACADEMY OF BUENA PARKFACILITY NUMBER:
304371585
ADMINISTRATOR/
DIRECTOR:		BARBA, KARLAFACILITY TYPE:
850
ADDRESS:7501 COMMONWEALTH AVENUETELEPHONE:
(714) 752-6294
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY: 114TOTAL ENROLLED CHILDREN: 114CENSUS: 23DATE:
06/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Karla Barba, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 06/19/2024, Licensing Program Analyst (LPA) Tran conducted a case management visit to provide facility with a copy of an amended report for the report completed on 06/05/2024. LPA Tran met with Director Karla Barba. A tour of the facility was conducted, and census was taken. Observed at the time of the visit was a total of 11 preschool children and 1 staff the Fours classroom, and 12 preschool children with 3 staff members in the Older Twos classroom.

A review of the Facility Personnel Report Summary on 06/19/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the visit, the amended report was reviewed and provided to Director Karla Barba and signature was obtained for the amended report.

Appeal Rights were discussed. The facility representative was provided a copy of their 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Karla Barba.

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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