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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371088
Report Date: 06/21/2019
Date Signed: 06/21/2019 01:21:12 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:GREAT ADVENTURES LEARNING CENTER, INC.FACILITY NUMBER:
304371088
ADMINISTRATOR:JENSEN, SHARON A.FACILITY TYPE:
850
ADDRESS:7945 ALDRICH DR.TELEPHONE:
(714) 847-0844
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY:52CENSUS: 22DATE:
06/21/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Sharon Jensen, DirectorTIME COMPLETED:
01:30 PM
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
A case management inspection was conducted on this date by Licensing Program Analyst (LPA) Port in response to a self-reported incident received in our office on 06/12/2019. A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

Census was taken. LPA observed 22 preschool age children and 3 preschool staff member in Room 3 where a puppet show was being conducted. There were no toddler option children present during today's inspection. The director stated there are no toddler option children at the facility on Fridays. During today's inspection it was determined that the facility was operating within its licensed capacity and within compliance of staffing ratios.

During today's inspection staff members and children were interviewed. Children records and staff records were reviewed. There was no children's roster available during today's inspection. LPA observed 2 children's chairs in Room 1 (front entrance area) with excessive stains and and dirt marks throughout the seat and armrest. Photographs were taken.

The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited during today's inspection: Health and Safety Code 1596.841 and 101238(a) Buildings and Grounds (see LIC 809D).

Inspection, report review and exit interview were conducted with Director, Sharon Jensen. Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days, failure to post is subject to a civil penalty of $100. The licensee was provided a copy of appeal rights and her 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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Wendy PortTELEPHONE: (714) 703-2815
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2019
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: GREAT ADVENTURES LEARNING CENTER, INC.
FACILITY NUMBER: 304371088
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/08/2019
Section Cited
HSC
1596.841
1
2
3
4
5
6
7
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... This requirement was not met as evidenced by:
1
2
3
4
5
6
7
LPA provided director with a blank copy of the LIC 9040, Children's Roster during today's inspection. The director stated she will complete a children's roster and send a copy to the licensing office by the due date of 07/08/2019.
8
9
10
11
12
13
14
The director stated she was unaware of this requirement. The facility had copies of identification and Emergency Information (LIC 700) compiled together. A completed children's roster was not available during today's inspection. This poses a potential safety risk to children in care.
8
9
10
11
12
13
14
Type B
07/08/2019
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The director stated the chairs were donated by a parent. The director removed the chairs during LPA's inspection to an off limits area. The director stated she will try to wash the covers or dispose of the chairs. A written statement regarding the chairs will be sent to our office by the due date 07/08/2019.
8
9
10
11
12
13
14
LPA observed 2 children's chairs in Room 1 (front entrance area) with excessive stains and dirt marks throughout the seat and armrest. Photographs were taken. This poses a potential health risk to children in care.
8
9
10
11
12
13
14
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: Wendy PortTELEPHONE: (714) 703-2815
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2