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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370702
Report Date: 09/09/2024
Date Signed: 09/09/2024 03:26:06 PM


Document Has Been Signed on 09/09/2024 03:26 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: 33DATE:
09/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director, Florence Dixon TIME COMPLETED:
03:45 PM
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Licensing Program Analysts (LPA) Nunez conducted an unannounced case management inspection for the purpose of delivering, and reviewing, the Decision and Order Excluding Erica Gonzalez. LPA toured the facility and census was taken in individual classrooms. When LPA arrived, the children were napping, and the overall census observed was 33 preschool age children and 3 staff members.

A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's inspection LPA verified excluded person, Erica Gonzales is no longer present in the facility. The director stated Erica Gonzalez last day working at the facility was on May 31, 2024. LPA Nunez notified the director that Erica Gonzalez was served with a decision and order and is excluded from all care facilities licensed by the Department, certified by a licensed foster family agency, or any resource family home, and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by the Department for the remainder of her life from the effective date of August 26, 2024.

A copy of the Decision and Order was provided to director, Florence Dixon.

On 9/9/2024, LPA Nunez reviewed the children’s sign in/out sheets and observed children that were not sign out on the following dates: 5 children were not sign out on 9/6/2024, 1 child was not sign/out on 9/5/2024, and 2 children were not sign out on 9/4/2024.



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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2024
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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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
VISIT DATE: 09/09/2024
NARRATIVE
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Based on LPA’s observation 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. This is a repeated violation from 5/28/2024 and a civil penalty has been issued. See attached LIC 809D.

An exit interview conducted with director, Florence Dixon. Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00. The Notice of Site Visit must be posted on or adjacent to the door.

End of Report.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/09/2024 03:26 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: 09/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2024
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 posted a sing in the front entrance outside reminding parents to sign out and teacher will not release the child until the teacher knows the parent has sign out the child. The director stated she will write a statement with the new procedures and will email it to the LPA by the POC due date.
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Based on observation and record review LPA Nunez observed 8 signature slots were missing the time when they were not sign out on 9/6/2024, 9/5/2024, and 9/4/2024. 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: 09/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2024
LIC809 (FAS) - (06/04)
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