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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370868
Report Date: 02/28/2024
Date Signed: 02/28/2024 01:06:22 PM


Document Has Been Signed on 02/28/2024 01:06 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:CHRIST CATHEDRAL ACADEMY PRE-SCHOOLFACILITY NUMBER:
304370868
ADMINISTRATOR:PATRICIA L. ABEYTAFACILITY TYPE:
850
ADDRESS:13280 CHAPMAN AVENUETELEPHONE:
(714) 663-2433
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:100CENSUS: 90DATE:
02/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Director Patricia AbeytaTIME COMPLETED:
01:30 PM
NARRATIVE
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On 2/28/2024, Licensing Program Analyst (LPA) A. Silva conducted a Case Management – Deficiencies due to deficiencies observed. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Census was 90 preschool children at the time of visit. The facility was operating within ratios and capacity.

The licensee did not have a current roster of children in care. Per Ch 3.4 California Child Day Care Act, Health and Safety Code 1596.841 Current roster of children provided care in facility required, “Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.” The director was provided a copy of the LIC9040 Child Care Facility Roster.

Based on records review and interviews with Director Abeyta, the facility is being cited in accordance with the California Code of Regulations, following section: HSC 1596.841 Current roster of children provided (See LIC809D attached).

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) 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. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with director Ruby Porter.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024
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 02/28/2024 01:06 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: CHRIST CATHEDRAL ACADEMY PRE-SCHOOL
FACILITY NUMBER: 304370868

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2024
Section Cited
HSC
1596.841

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HSC 1596.841 Current roster. Each child day care facility shall maintain a current roster of children...

The licensee did not comply with the regulation above as evidenced by:
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Director stated she will complete the roster and send it to the LPA by email by the due date.
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Based on records review and interviews, the director did not have a current roster of children in care during the unannounced visit. The director has class rosters without the required information that would appear in the LIC9040.
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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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Archibaldo SilvaTELEPHONE: (510) 504-4954
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024
LIC809 (FAS) - (06/04)
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