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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370702
Report Date: 05/20/2024
Date Signed: 05/20/2024 05:03:49 PM


Document Has Been Signed on 05/20/2024 05:03 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:SUNFLOWER PRESCHOOL & KINDERGARTENFACILITY NUMBER:
304370702
ADMINISTRATOR:JAZMIN ORTIZFACILITY TYPE:
850
ADDRESS:2129 W EDINGERTELEPHONE:
(714) 979-7422
CITY:SANTA ANASTATE: CAZIP CODE:
92704
CAPACITY:59CENSUS: 34DATE:
05/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Director, Florence Dixon TIME COMPLETED:
05:30 PM
NARRATIVE
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On 05/20/2024 at around 9:21 AM LPA Nunez did a walkthrough of the facility, LPA was walking through the 3 year old classroom and observed Child #1 (C1) looking through a closed window door and looking into the classroom. LPA interviewed Staff #1 (S1), S1 stated C1 was using the restroom. At that time S1 was doing circle time with 10 other children. Child#2 (C2) was then observed going to the door and opening it for C1 so C1 can come back in the classroom. LPA observed the restroom that C1 was using is located in the 4-year-old classroom that is next door. LPA did not observe staff present with C1.

Based on LPA’s observations and interview, LPA determined facility staff failed to provide adequate supervision to C1 while using the restroom. Therefore, in the areas that were inspected, one Type A deficiency was observed of the California Code of Regulations, Title 22, Division 12 Section 101229(a)(1) Responsibility for Providing Care and Supervision. See attached LIC809D.

LPA Nunez informed facility representative, that this report dated 5/20/2024 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Nunez also informed the director, Florence Dixon to provide a copy of this licensing report dated 5/20/2024, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted. The Notice of Site Visit was posted for no less than 30 consecutive days. Appeal Rights was explained The report must be posted with Notice of Site Visit . A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024
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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Document Has Been Signed on 05/20/2024 05:03 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: SUNFLOWER PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 304370702

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2024
Section Cited
CCR
101229(a)(1)

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101229 Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child shall be left without the supervision of a teacher at any time, Supervision shall include visual observation. This requirement is not met as evidenced by:
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Director stated they will hire a new staff member as soon as possible. Will be using the Childcare career for sub teachers to provide more supervision. Director stated she will write a written statement and send it to the LPA via email.
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Based on LPA observation and interview C1 was in the restroom without staff supervision. This poses an immediate Health and Safety risk to the children in care.
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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: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024
LIC809 (FAS) - (06/04)
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