<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370176
Report Date: 05/25/2021
Date Signed: 05/25/2021 12:59:40 PM

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:LA HABRA HERITAGE SCHOOLFACILITY NUMBER:
304370176
ADMINISTRATOR:WIJEGUNARATNE, DEEPIKAFACILITY TYPE:
840
ADDRESS:323 NORTH EUCLID STREETTELEPHONE:
(562) 691-1967
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:17CENSUS: 9DATE:
05/25/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Director Deepika WijegunaratneTIME COMPLETED:
11:15 AM
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
Tele-Investigation COVID-19 State of Emergency
Licensing Program Analyst (LPA) Corral created an unannounced Case Management Report on today’s date due to deficiencies found during the Facility Tele-Inspection on 04/02/2021. During the Tele-Inspection conducted on 04/02/2021 LPA Corral discovered school age and preschool children commingle. It was determined through interviews with three Staff Members that preschool and school aged children play together in the afternoon. One Staff member stated that preschool and school age children commingle and interact in the preschool playground at the end of the day. Another Staff stated that preschool and school age children are together in the same classroom when one of the teachers needs to use the restroom. During the Staff Interviews three Staff members stated that preschool and school age children commingle at the end of the day in the school age room or in the preschool playground.

Based on the information that was obtained from interviewing three Staff Members, the preponderance of evidence standard has been met, therefore the allegation regarding Daycare children are allowed to co-mingling is found to be Substantiated. This constitutes a violation of operation of Title 22, California Code of Regulations, 101161(a) Limitations on Capacity, which states, a licensee shall not operate a childcare center beyond the conditions and limitations specified on the license, including the capacity limitation. This allegation is being cited on the attached LIC9099D.

Exit interview was conducted and report was read to Director Deepika Wijegunaratne via Tele-Inspection. A copy of the Investigation Report along with Appeal Rights will be email to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt." Appeal Rights were explained. Licensee was informed first level of appeal is directed to Regional Manager to the address listed above. Notice of Site Visit was not posted due to Tele-Investigation COVID-19 State of Emergency.
End of Report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2021
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: LA HABRA HERITAGE SCHOOL
FACILITY NUMBER: 304370176
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/25/2021
Section Cited

1
2
3
4
5
6
7
101161(a) Limitations on Capacity and Ambulatory Status. A licensee shall not operate a childcare center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on three staff member interviews, preschool and school age children comingle at the end of the day in the school age room or in the preschool playground. This poses a potential risk to the safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2