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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371704
Report Date: 10/01/2024
Date Signed: 10/01/2024 03:49:05 PM

Document Has Been Signed on 10/01/2024 03:49 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:GIVINGTREE MONTESSORIFACILITY NUMBER:
304371704
ADMINISTRATOR/
DIRECTOR:		SOOYOUNG SHINFACILITY TYPE:
860
ADDRESS:1901 NORTH EUCLID STREETTELEPHONE:
(714) 336-2872
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
10/01/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:13 PM
MET WITH:Shin Sooyoung, Designated ApplicantTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analysts (LPAS) P Rivas and R Castanon conducted an office meeting with Ms. Shin Sooyoung designated applicant and Board member Ms. Son and Jeanie Yu, Employee. who speaks Korean. FOCUS Interpreter Services were used with interpreter/translator 42916330 and 38027
Ms. Yu who is fluent in English reported that on prior meeting she did not think the certified interpreter was getting all information but did not say anything at the meeting, going back and forth , During today's meeting Ms. Yu reported that it was an accurate interpretation.
I
. LPA read report to Ms. Yu who translated it to Ms. Shin Sooyoung

LPA asked what reason for visit, advised they wanted a status of application, LPA advised she is currently reviewing the history of applicant, board members and found an unlicensed complaint.

They asked when the complaint was made, if it was in May and LPA advised it was,
LPA interviewed owner/board member regarding complaint f#06-CC-20240502222910

LPA was advised the building owner stated they were going to demolish her current location. LPA requested information in writing.
LPA also avised that review of application will also involve the Regional Office Management.

Board member to provide written rebuttal regarding complaint.

exit interview conducted.,
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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