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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603522
Report Date: 08/06/2025
Date Signed: 08/14/2025 09:19:30 AM

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
05/27/2025 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250527164535
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: 27DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Director Cynthia EstepTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Reporting Requirement/LIC9224
INVESTIGATION FINDINGS:
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*** This is an amended report from the original
On 08/06/25, Licensing Program Analyst (LPA), Anna Chan, conducted an investigation for a follow up investigation regarding a complaint which was initiated on 06/04/25. LPA met with Director Cynthia Estep and was led on a tour of the facility. There were 27 preschool children and 4 staff. Children were waking up or having indoor activities when LPA arrived.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the course of this investigation, an allegation was added (1) Reporting Requirement/LIC9224
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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-20250527164535
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: 08/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/20/2025
Section Cited
HSC
1596.8595.(c)
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1596.8595.(c) A licensed child care facility... shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation. This requirement was not met as evidenced by.
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The director stated the facility is to provide copy of LIC9099 dated 5/27/25 that documents any Type A citation to parents/guardians of all children currently and newly enrolled by the next business day or the next daychild is in the facility
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Based on records reviewed, The facility did not provide the 5/27/25 licensing report LIC9099 and acknowledgement receipt LIC9224 to 2 children rep by the next day the or day the child was in attendance. Tthis poses a potential risk to the health, safety, or personal rights of children in care.
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 A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must also be placed in the child's file for verification. A copy of missing LIC9224 will be sent to LPA by due date.
CCR
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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: 08/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250527164535
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: 08/06/2025
NARRATIVE
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***This is an amended report from the original

LPA reviewed 11 children’s files.

On 8/6/25, LPA record reviewed 11 children's files, 2 of 11 children’s file are missing signed LIC9224, Acknowledgement Receipt of Licensing Report dated 5/27/25.

Based on interview and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the allegations was valid. See LIC9099D for 1 Type B deficiency cited.

Exit interview was conducted and report and deficiency was reviewed with Director Cynthia Estep. The Notice of Site Visit was posted and must be posted for 30 consecutive days. Appeal Rights were provided.

Page 2 of 2
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3