304371425-12-7-2020-06-CC-CODM-BW423V-20201207160259

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371425
Report Date: 12/07/2020
Date Signed: 12/07/2020 04:04:40 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:	304371425
ADMINISTRATOR:	JENSEN, SHARON A.		FACILITY TYPE:	830
ADDRESS:	7945 ALDRICH DRIVE		TELEPHONE:	(714) 847-0844
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92647
CAPACITY:	8	CENSUS: 3	DATE:	12/07/2020
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Director Sharon Jensen		TIME COMPLETED:	03:50 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

Tele- Inspection Case Management Visit due to COVID-19 State of Emergency

Licensing Program Analyst (LPA) Carmen Odom conducted a case management visit on 12/07/2020 due to an Unusual Incident Report (UIR) received in the Regional Office on 11/06/2020 by Director Sharon Jensen. The UIR stated that Teacher tripped and fell while carrying four-month-old infant.

LPA Odom notified the Director that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing a Tele-Inspection would be conducted. A FaceTime call was made with Director Sharon Jensen. During the Tele-Inspection there were 1 infant staff and 3 infant children in care.
A review of the Facility Personnel Report Summary on 12/07/2020 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the Tele-Inspection LPA Odom and Director took a tour of the Facility. LPA Odom observed the 22” tall baby gate that surrounds the infant play area. LPA interviewed Director Sharon Jensen and Assistant Director Christina Sarandis. LPA discussed the incident with the Director. Director stated, staff is trained on regulations and procedures for the infant center when they are hired. Staff was not following proper safety procedure and training during incident. Director provided disciplinary action to staff. Staff no longer works at the childcare. A copy of the Children’s Roster and a copy of infant training procedure and regulation manual was requested.

Based on observation, interviews and childcare policy manual, staff was not following safety procedures while transporting infant in baby swing, the facility was not in compliance of the California Code of Regulations, Title 22, Division 12, Section 101223(a)(2) Personal Rights is being cited on the attached LIC 809D.

Continue to page 2.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020

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 3

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: 304371425
	VISIT DATE: 12/07/2020

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
26
27
28
29
30
31
32

Page 2

Exit interview was conducted, Report was read, and Appeal Rights were explained to Director Sharon Jensen via Tele-Inspection. A copy of the report along with Appeal Rights will be email to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt.”

If the facility receives a Type A violations, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.

End of report.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 304371425
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/07/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/07/2020 Section Cited	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met evidence by:
	8 9 10 11 12 13 14	Based on observation, interviews, and review of documents Staff was not following safety procedures while transporting infant in baby swing. This is a immediate Health and Safety risk to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3