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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304312940
Report Date: 08/06/2024
Date Signed: 08/06/2024 03:19:47 PM

Document Has Been Signed on 08/06/2024 03:19 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:SONEJI, MAYURIFACILITY NUMBER:
304312940
ADMINISTRATOR/
DIRECTOR:
SONEJI, MAYURIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 552-5763
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Licensee, Mayuri SonejiTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
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A Plan of Corrections site inspection was conducted on this day, 8/6/2024 by LPA Sun. Met with licensee, Mayuri Soneji who guided the analyst on a tour of the facility. Census was taken as follow: 2 infants, 7 preschool children, and 5 school age children.

The deficiency that was previously cited on the LIC9099 dated 07/31/24 has been cleared.

1. LPA observed 14 children present during today's visit.

2. During visit, LPA observed a parent with 3 children not being admitted into facility by licensee at the door. LPA asked if everything was OK, why didn’t Licensee admit children into facility? Licensee stated I can’t take more than 14 children.

LPA observed the Notice of Site Visit, the LIC9099 Complaint Investigation Report, and the LIC9099D from the previous inspection dated 7/31/24 posted by the main entrance. Acknowledgement of Receipt of Licensing Reports LIC 9224 was also observed in each of the child's file.

No deficiency was observed during today’s inspection.

A new Notice of Site Visit dated 8/7/24 was posted today and licensee was explained that it must remain posted for 30 operation days. Failure to keep A Notice of Site Visit posted will result in a $100.00 civil penalty.

Web address for downloading forms or regulations was provided as (http://ccld.ca.gov/PG411.htm).

Exit interview was conducted, and a copy of this report was provided to licensee. Appeal Rights explained. The Licensee was provided a copy of the appeal rights (LIC 9058 01/2016) and their signature on this form acknowledges receipt of these rights. First level appeal is to the Regional Manager address is above on report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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