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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 05/27/2025
Date Signed: 05/27/2025 03:05:10 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/23/2025 and conducted by Evaluator Anna Francesca Chan
COMPLAINT CONTROL NUMBER: 06-CC-20250523143707
FACILITY NAME:GRACE HARBOR CHURCH AND SCHOOLFACILITY NUMBER:
300603522
ADMINISTRATOR:ESTEP, CYNTHIAFACILITY TYPE:
850
ADDRESS:12881 NEWPORT AVENUETELEPHONE:
(714) 544-4431
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:78CENSUS: 39DATE:
05/27/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Director Cynthia EstepTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Daycare child was unattended
INVESTIGATION FINDINGS:
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On 05/27/25 at 1:10pm, Licensing Program Analyst (LPA) Anna Chan made an unannounced visit to facility for the purpose of initiating a complaint that was received by the Regional Office. LPA met with Director Cynthia Estep and explained the reason for today's visit upon arrival. Census was taken. LPA observed 39 preschool children and 5 staff. Children were napping when LPA arrived.

A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 05/23/25 alleging daycare child was left unattended.

Based on interview, an Reporting Party (RP) witnessed Child 1 (C1) was left alone in the picnic area and unattended and unsupervised.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20250523143707
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL
FACILITY NUMBER: 300603522
VISIT DATE: 05/27/2025
NARRATIVE
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Based on staff interview, Staff 1 (S1) stated that during pick up, child’s authorized representative (Rep) did not find C1 in the classroom with the rest of the class. S1 and Rep went out the yard and found C1 at the play yard by the picnic area.

Based on the information gathered from the interviews conducted, it was determined that C1 was left in the outdoor play yard alone and unsupervised.

The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. 1 Type A violation cited for section 101229(a)(1) Responsibility for Providing Care and Supervision. See LIC9009D for deficiencies cited.

LPA Chan informed Director Cynthia Estep that this report dated 05/27/25 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Chan also informed the Director Cynthia Estep, to provide a copy of this licensing report dated 05/27/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report and deficiency were reviewed and discussed with the Director Cynthia Estep. Appeal Rights was provided. A notice of site visit was given and must remain posted for 30 days.



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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250523143707
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GRACE HARBOR CHURCH AND SCHOOL
FACILITY NUMBER: 300603522
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/28/2025
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing
Care and Supervision: No child(ren) shall be left without the supervision, including visual observation...
This requirement is not met as evidenced by:
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Director stated they will conduct training on supervision with staff and will submit proof to LPA by due date of 5/28/25. Director will submit an action plan to prevent this from happening again.
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Based on the interviews conducted,S1 stated C1 was left alone and unsupervised in the playyard
This poses an immediate risk to health and safety of 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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3