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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304202709
Report Date:
06/19/2023
Date Signed:
06/19/2023 01:56:08 PM
Document Has Been Signed on
06/19/2023 01:56 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 CO CHILD CARE
,
750 THE CITY DRIVE, SUITE 250
ORANGE
,
CA
92868
FACILITY NAME:
NOORIZADEH, MEHRI & TAJRISHI, MASHALLAH
FACILITY NUMBER:
304202709
ADMINISTRATOR:
NOORIZADEH, & TAJRISHI
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(949) 910-2156
CITY:
IRVINE
STATE:
CA
ZIP CODE:
92603
CAPACITY:
14
CENSUS:
0
DATE:
06/19/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
01:30 PM
MET WITH:
Mehri N
TIME COMPLETED:
02:30 PM
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An Annual Random inspection was conducted at the facility by Licensing Program Analyst (LPA) Mrs. Bootorabi. The LPA was greeted by the licensee Mehri N. The licensee explained that she has been closed since September 2023. The LPA consulted the licensee on the steps for closure. The LPA collected the license and a statement from the licensee stating she is no longer operating. No children were observed during today's visit.
SUPERVISOR'S NAME:
Patricia Magana
TELEPHONE:
(714) 703-2821
LICENSING EVALUATOR NAME:
Araceli Bootorabi
TELEPHONE:
(714) 703-2800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/19/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/19/2023
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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