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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371768
Report Date: 09/03/2026
Date Signed: 09/14/2026 04:45:46 PM

Document Has Been Signed on 09/14/2026 04:45 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:SUPER BEES ACADEMYFACILITY NUMBER:
304371768
ADMINISTRATOR/
DIRECTOR:		RODRIGO, KIVINIFACILITY TYPE:
860
ADDRESS:758 SAINT CLAIR STREETTELEPHONE:
(714) 854-4232
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY: 46TOTAL ENROLLED CHILDREN: 21CENSUS: 13DATE:
09/03/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Applicant Ivek RodrigoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 09/03/2026 at 10:00am, Licensing Program Analysts (LPAs) R. Castanon and S. Jung conducted an announced prelicensing inspection for a change of ownership application. Upon arrival, LPAs met with Applicant Ivek Rodrigo, their consultant and Director Jazmin Garcia. The applicant is requesting to be licensed for 46 children in total. Facility will serve 20 infants ages 2 months - 24 months in Infant Rooms 2 & 3 and 26 preschool children ages 2-6 years old in Room 1. Hours of operation will be Monday-Friday 7:00am-6:00pm. An updated fire clearance approval will be requested to reflect updated preschool capacity measured during visit.

All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed Applicant that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, they will be in a locked cabinet in Infant Room 2 and Preschool Room 1. There is a backpack in every classroom with a fully equipped first aid kit. There is an operational carbon monoxide detector on site, and it was tested in Infant Room 2 during visit. All required licensing documents were observed to be posted near the preschool entrance of the facility. Children will be signed in/out electronically in each classroom.

LPAs continued to tour the facility and measured all indoor and outdoor activity spaces. Total indoor activity space for infants measured 785.82 square feet which is sufficient to accommodate the requested capacity of 20 infant children. Total indoor activity space for preschoolers measured approx. 773.24 square feet which is sufficient to accommodate the capacity of 22 preschool children. LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water sinks and children can bring their own water bottles. LPAs observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 06/29/2026. (Continue to page 2)
Belinda Devall
Romelia M Castanon
DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2026
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 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SUPER BEES ACADEMY
FACILITY NUMBER: 304371768
VISIT DATE: 09/03/2026
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Highchairs and feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. Highchairs are made of washable, moisture-resistant material. LPA informed sides of the changing table or mat should be at least 3” high and cannot be flush with each other for the infants safety. Infant Room changing table is within arm’s reach of a sink. Diapering sinks are not used for meal preparation or dishwashing. Cribs meet regulatory requirements but additional cribs will be added. Applicant will send photos of completed crib sleeping area. The crib area is separated from activity space via pony wall made of sound absorbing material but does not allow for supervision of napping children. Applicant was reminded that a staff member will provide constant supervision anytime a child is sleeping in the crib area. Infant sleep logs and Needs and Services Plans and Sleep Plans are kept Infant Room 2 and archives will be kept in Director’s office.

Applicant was reminded that at least one potty chair or toilet is needed for every five infants being potty trained. LPAs observed one (1) toilet and one (1) sink indoors for infant use and two (2) sinks outside on infant playground. There were three (3) toilets and two (2) sinks indoors and one (1) outdoor sink for preschool children’s use. These are sufficient to accommodate the requested capacity of 46 children. There is a separate adult restroom equipped with one (1) toilet and one (1) sink located in the infant room crib area. The isolation area for children who are ill will be the Directors office and the adult restroom located in the infant room.

The facility will provide breakfast, lunch and afternoon snacks for preschoool component only and infant component children will bring all meals from home. Meals will be prepared on site in the kitchen. The kitchen is equipped with two (2) refrigerators with freezers, a microwave, air fryer, toaster and coffee maker. Food will be properly stored separate from cleaning materials. Hazardous items are stored in individual rooms inaccessible to children via child locks.


The facility has two separate play areas that are fenced at least four feet high. The total square footage for infant outdoor activity space is 1,781.05 square feet which is sufficient to accommodate 20 children in the infant play yard. The total square footage for preschool outdoor activity space is 8,919.03 square feet which is sufficient to accommodate the requested capacity. There is a climbing structure on the preschool playground which is properly anchored with manufacturer stickers for ages 2-5 years old. There is adequate cushioning in fall zones of structure provided by sand. Applicant was informed that the sand area should be checked and maintained daily. (Continue to page 3)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Romelia M Castanon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SUPER BEES ACADEMY
FACILITY NUMBER: 304371768
VISIT DATE: 09/03/2026
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.).

Applicant Ivek stated they would submit the previous lead testing. LPA informed Applicant to include:
(1) External Water Sampler Self-Certification Form (LIC 9275) for certified external water samplers.
(2) Facility Sketch (LIC 999) fully labelled with the locations of all water outlets, including outlets that will not be sampled.
(3) Child Care Center Sampling Checklist Form (LIC 9276)

LPA referred Applicant Ivek to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

Applicant Ivek was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

This facility provides Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. (Continue to page 4)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Romelia M Castanon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SUPER BEES ACADEMY
FACILITY NUMBER: 304371768
VISIT DATE: 09/03/2026
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LPA reviewed LIC184D corrections in detail with Applicant Ivek regarding Director’s packet submitted for J. Garcia. LPAs reviewed the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted with facility representatives.
LPAs discussed the safe sleep regulations with facility representatives and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Facility representatives were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed prior to the issuance of the license:
1. Photos of removed toys and debris on preschool playgrounds tree planters
2. Photos of additional cribs with crib sheets, and play mat cleaned of visible stains
3. Photo of 1 inch changing table mat and photos of additional potty chairs
4. Photos of 26 sleeping cots for preschool with portable storage
5. Previous lead testing documentation including LIC 9275 & LIC 9276
6. Submission and approval for Director Exception

Applicant Ivek understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied. Exit interview conducted and report was reviewed with Applicant Ivek Rodrigo. (End of Report)
NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Romelia M Castanon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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