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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304200211
Report Date: 04/10/2024
Date Signed: 04/10/2024 09:45:49 AM

Document Has Been Signed on 04/10/2024 09:45 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MIRANDA, ROSALBAFACILITY NUMBER:
304200211
ADMINISTRATOR/
DIRECTOR:		MIRANDA, ROSALBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 343-2844
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/10/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Rosalba MirandaTIME VISIT/
INSPECTION COMPLETED:
09:55 AM
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This Informal Meeting was called to discuss serious issues and deficiencies at the licensed family child care home. The Department’s mission is to ensure the health, safety, and personal rights of children in its licensed facilities. This informal meeting was held with the licensee in an effort to accomplish this goal.
The Licensing Program Manager (LPM) Thuy Ho explained the purpose and the process of the meeting. The purpose of the meeting was to inform the licensee that the Department has serious concerns about the following deficiencies:

Deficiencies.
10/27/23 CCR Infant Safe Sleep - 102425(b) - Loose articles in 2 cribs. Infant C2 was in a play yard with loose articles.
10/27/23 CCR Infant Safe Sleep - 102425(i) - The licensee did not move infant C1 to a play yard after the infant fell asleep in the bedroom’s bed.
10/27/23 CCR Infant Safe Sleep - 102425(j) - Licensee did not physically check every 15-minute infants C1 and C2.
10/27/23 CCR Infant Safe Sleep - 102425(j)(5)(A) - C1 infant was sleeping in a bedroom where the licensee had no visual from the daycare area. C1 was sleeping in the bedroom for at least 15 minutes.
10/27/23 CCR Infant Safe Sleep - 102425(c) - Licensee did not have an LIC9227 for infants C1 or C2.
10/27/23 CCR Infant Safe Sleep - 102425(j)(2)(D)(c) - Licensee did not have 15-minute logs for C1 or C2.

During the meeting, the Licensing Program Analyst discussed infant safe sleep regulations. The LPA explained the 15-minute logs for safe sleep regulations. The licensee was informed that walkers, jumpers, and similar items are prohibited in a child care licensed facility. The licensee was informed that the facility will conduct more frequent random inspections

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MIRANDA, ROSALBA
FACILITY NUMBER: 304200211
VISIT DATE: 04/10/2024
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LPM discussed and suggested the Technical Support Program (TSP), licensee agreed to participate in TSP.
The LPA registered the licensee to receive PINs during the meeting.
The licensee agreed to do the following to bring the facility into compliance no later than the following dates:
The licensee stated that she has corrected all the since LPA’s visit. The licensee removed all loose articles from both cribs while the LPA was present. The licensee received a copy of safe sleep regulations (Spanish version) and a "What a safe sleep environment looks like” brochure (Spanish version). The licensee reviewed the regulations and sent a written declaration via email to the LPA on 10/31/23 stating the corrections had been completed.

The licensee will develop a protocol for the procedures listed below and email it to the LPA by 4/27/24:
    1. Completing infant safe sleep. This includes conducting and logging the 15-minute checks, keeping play yards/cribs free of loose articles, placing infants to sleep in an appropriate environment as required per regulations, and who will be primarily responsible for ensuring the facility is up to regulation.
    2.Train staff on who is Community Care Licensing and its role with licensed home.

During the meeting, the licensee was given the opportunity to discuss the deficiencies and plan of action above.
The licensee stated that C1 has been accustomed to sleep in the same area as the other children. The licensee stated that all children, including the infants, sleep in the same area of the day care where the licensee has a visual while they nap. The licensee stated she modified the way she observes safe sleep regulations and other licensing regulations. The licensee stated the parents received a copy of the LIC9224.

LPA A. Silva informed licensee Rosalba Miranda that this licensing report dated 4/10/24 documents an Informal Visit at the Regional Office. Rosalba Miranda that a copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care; a copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report.
A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report.
END.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2024
LIC809 (FAS) - (06/04)
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