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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300606173
Report Date: 07/19/2021
Date Signed: 07/19/2021 01:53:17 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:WESTMINSTER SCHOOL DIST. LAND CHILD DEV. CTRFACILITY NUMBER:
300606173
ADMINISTRATOR:MICHELLE MILLERFACILITY TYPE:
850
ADDRESS:15151 TEMPLE STTELEPHONE:
(714) 898-8389
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:240CENSUS: 43DATE:
07/19/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Michelle Miller, Program Manager
Early Learning Specialist Darcy Spicer
TIME COMPLETED:
01:30 PM
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On 07/19/2021, Licensing program analysts (LPAs) Nguyen and LPA Tran conducted a visit at the facility. The purpose of this visit was to conduct a Case Management Evaluation of the facility. LPA Nguyen and LPA Tran met with the program manager Michelle Miller and Early Learning Specialist Darcy Spicer, and toured the facility inside and outside. Census was taken in individual classrooms. The overall census observed was 8 preschool staffs and 43 preschool children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 07/12/2021, the Licensing Office received a self-report an unusual incident. The facility filed Unusual Incident Report (UIR) stating that mother of Child #1 (C1) reported that C1 was itching private throughout the night. Mother asked C1 why C1 is itching. C1 disclosed that C1 does not know but while mom kept asking did something happen at school. C1 shared to C1’s mother that another friend touch C1 in C1’s private. C1 stayed with C1's father in the weekend. School representative talked to C1 and C1 denied that someone touch C1 at the school.

During today’s inspection, Children and staff interviews were conducted. Due to insufficient information available and further interviews needed with child is not present, the aforementioned allegation needs further investigation.After a tour of the facility, no deficiency observed.

Hard copy and link of Child Care Providers Guide to Safe Sleep provided to licensee on this day: https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
Exit interview was conducted. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.”
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021
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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