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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314435
Report Date: 10/07/2024
Date Signed: 10/07/2024 02:06:36 PM

Document Has Been Signed on 10/07/2024 02:06 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:AGUIRRE, TRISHAFACILITY NUMBER:
304314435
ADMINISTRATOR/
DIRECTOR:		AGUIRRE, TRISHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 632-2400
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/07/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Applicant Trisha AguirreTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On 10/7/2024 at 2:00 pm, Licensing Program Analyst (LPA), Christine Jung, conducted an announced, Pre-Licensing inspection for a new Small Family Child Care home. The LPA met with applicant Trisha Aguirre.

The purpose of the visit was to follow up on a correction needed for the fireplace located in the home’s backyard. Applicant stated the fireplace will not be in use during day care hours. The gas for the fireplace is turned off, and the key to turn on the fireplace is in a key cabinet which is kept inside the home and inaccessible to children.

In the event additional requirements are needed, the applicant will be notified. License may be issued upon final review by the department.

Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. A copy of this report and all other Licensing reports must be made available to the public for 3 years.

Exit interview conducted and report was reviewed with the applicant Trisha Aguirre.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection, its tools, and methods, please visit the Program Website
at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2024
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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