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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371585
Report Date: 03/14/2025
Date Signed: 03/14/2025 04:03:12 PM

Document Has Been Signed on 03/14/2025 04:03 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: 55DATE:
03/14/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:01 PM
MET WITH:Director Karla BarbaTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 03/14/2025, a Case Management visit was conducted to issue a LIC421IM (Civil Penalty) in the amount of $1000.00 for repeat violation cited on 03/14/2025. The facility was cited for Responsibility for Providing Care and Supervision.

An exit interview was completed director Karla Barba. The report was reviewed and discussed. The Licensee 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.

End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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