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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370702
Report Date: 05/28/2024
Date Signed: 05/28/2024 03:16:01 PM


Document Has Been Signed on 05/28/2024 03:16 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: 38DATE:
05/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Director, Florence Dixon TIME COMPLETED:
03:30 PM
NARRATIVE
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An unannounced case management report was initiated on today’s date by Licensing Program Analyst (LPA) Nunez , during a complaint investigation it was discovered that Adult#7 (A7) did not sign in Child#2 (C2) and Child#3 (C3) in the signing sheet.

During today's inspection there were 38 preschool age children and 5 staff members in the classroom. Children were napping when LPA arrived. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 5/21/24, LPA Nunez interviewed Staff# 3(S3) via telephone. S3 stated that Adult# 7(A7) did not sign in C2 and C3 on the sign-in sheet on 5/16/2024 when A7 dropped off C2 and C3 at the facility.

Based on LPA’s interview with S3 the following violation is being cited in accordance with California Code of Regulations, Title 22, Chapter 1, Section 101229.1(a)(1) Sign In and Sign Out. See attached LIC 809D.

Exit interview was conducted with Director Florence Dixon. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2024
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 05/28/2024 03:16 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: 05/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
101229.1(a)(1)

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101229.1 (a) In addition to the sign-in procedure requirement...
(1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
This requirement is not met as evidenced by:
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The director stated she will talk to the teachers and let them know not receive a child without the parent sign in and out. The director will provide a written statement. LPA will also do an unannounced POC visit.
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Based on interview, S3 stated that A7 did not sign in C2 & C3 when being dropped off at the facility. This poses a potential 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: 05/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2024
LIC809 (FAS) - (06/04)
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