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Department of
SOCIAL SERVICES

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370772
Report Date: 03/11/2020
Date Signed: 03/11/2020 11:50:54 AM

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:	HAPPY MINDS KIDS ACADEMY		FACILITY NUMBER:	304370772
ADMINISTRATOR:	AFAZ, FASHANA		FACILITY TYPE:	830
ADDRESS:	24000 ALICIA PARKWAY # 35		TELEPHONE:	(949) 455-1212
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	22	CENSUS: 18	DATE:	03/11/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Director		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Page 1 of 2 An unannounced case management inspection was conducted today by Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek who met with the director Fashana Afaz. This facility has originally requested to increase their capacity from 18 infants and toddlers to 63 infants and toddlers by adding additional rooms from suit # 34. The main entrance is from suite # 35 for infant/toddler and preschool programs. LPA has made two different inspections on 1/9/2020 and 1/22/2020 for the current changes. On 1/22/2020 LPA made an inspection based on the revised fire clearance approval received dated 1/15/2020 to our office. The facility was granted a provisional license for 22 infants and toddlers in rooms 4 and 8 per Fire Clearance Approval until the additional room (room 9) to be approved. According to the Fire Clearance Approval received in our office on 2/27/2020 the facility has been approved for a maximum of 50 infants and toddlers ages 6 weeks to 24 months old in rooms 4, 8, and 9 due to these rooms have direct exits to the exterior of the building. The measurements for rooms 4, 8, and 9 are as follows: Room # 4 from suite 35 is approximately 350 square feet after deducting the crib area which accommodates 10 children under 24 months old. Room # 8 from suite 34 is approximately 420 square feet after deducting the crib area which accommodates 12 children under 24 months old. Room # 9 from suite 34 is approximately 570 square feet which accommodates 16 children under 24 months old. Continued on page 2

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: HAPPY MINDS KIDS ACADEMY	FACILITY NUMBER: 304370772
	VISIT DATE: 03/11/2020

NARRATIVE

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Therefore the total measurement of indoor space is approximately 1340 square feet which accommodates 38 infants and toddlers in rooms 4, 8, and 9.
The facility is a combination childcare of infant/toddler and preschool licenses. The facility is licensed for 99 preschool children.

There are a total of 12 toilets in the facility that accommodates 180 children.
There are 15 sinks in the entire building that accommodates 225 children.
According to the measurement of 10/23/2017 the playground measurement for infants and toddlers is approximately 1844 square feet which accommodates 24 infants and toddlers.

The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. First level appeal is to Regional Manager, address is above on the report. The facility representative was informed that they can refer to our Department website at www.ccld.ca.gov for obtaining the quarterly updates.
Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org
A copy of child care provider's guide to safe sleep pamphlet and a copy of Never Ever Shake a Baby pamphlet with the website www.dontshake.org were given to the facility representative on the last inspection date. An updated pamphlet regarding safe sleep regulations in childcare and a pamphlet for lead poisoning facts were given to the director on the last inspection date.

The current provisional license for a capacity of 22 will be changed to 38 infants and toddlers after waiver approval for the outdoor space since the facility's outdoor space is enough for 24 children.

The status of the license will change from provisional to regular license after the correction of the following by 4/22/2020:
The divider height of the separation area between the napping area and activity area for infants shall be at least 4 feet high. The Plexi glass divider installed is less than 4 feet high.
This report ends here.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

LIC809 (FAS) - (06/04)

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