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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304312940
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:25:17 PM

Document Has Been Signed on 10/08/2024 04:25 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: 6DATE:
10/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Licensee, Mayuri SonejiTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 10/8/2024 Licensing Program Analysts (LPA) Sun made an unannounced visit to facility for the purpose of a follow-up deficiency that was received. Upon arrival LPA, was met by licensee, Mayuri Soneji who provided a tour of the facility at 1:30 PM upon arrival LPA, observed the licensee caring for 4 preschool-age children and 2 school age children laying down for nap. AM Assistant was cleaning childcare room. At 2:15 PM, Licensee's PM assistant arrived at the facility and AM assistant left facility at 2:30 PM. LPA explained to Licensee the reason for today's visit upon arrival.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's visit, LPA interviewed staff, children and obtained the facility roster . At this time further investigation is needed.

Exit interview was conducted. The Notice of Site Visit was posted. The Licensee was advised the Notice of Site Visit must be posted for 30 days or $100 Civil Penalty will be assessed. Appeal rights provided.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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