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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304201134
Report Date: 05/28/2024
Date Signed: 05/28/2024 06:51:28 PM

Document Has Been Signed on 05/28/2024 06:51 PM - 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:SCOTT, LYNNFACILITY NUMBER:
304201134
ADMINISTRATOR/
DIRECTOR:		SCOTT, LYNNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 523-0728
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 13DATE:
05/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Lynn Scott (Licensee)TIME VISIT/
INSPECTION COMPLETED:
05:50 PM
NARRATIVE
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An unannounced case management report was initiated on today’s date by Licensing Program Analyst (LPA) Trinh, during a complaint investigation it was discovered that the facility was out of ratio. At 12.45 Pm, LPA observed 13 children with Licensee and the one Assistant.

During today's inspection, there was 13 children and 2 staff members, which including 2 school age children were watching TV and 11 preschool children were napping in the living room. During the inspection it was determined the facility is operating within its licensed capacity and with out compliance of staffing ratios. At 1:20 pm, LPA observed one child get picked up.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the complaint investigation. The LPA reviewed 2 files and reviewed 2 out of the 2 staff present, who were present during the inspection. The licensee and her assistant mandated reporter expire on 3/22/2024. Licensee admitted that she did not have the current mandated reporter training certificate. LPA interview and reviewed on record, Pediatric CPR/First Aid certification expires on 3/20/24. The licensee has an appointment to renew her Pediatric/First Aid Certificate on 6/2024.

Licensee will be cited under the California Code of Regulations, Title 22, Division 12, Chapter 1, Section 102416. 5 Staffing Ratio and Capacity, HSC 1597.622(a)(1) General Provisions and Definitions, and Operation of a Family Child Care Home 102416(c). See attached LIC 809D.

Continued Page 2

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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: SCOTT, LYNN
FACILITY NUMBER: 304201134
VISIT DATE: 05/28/2024
NARRATIVE
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LPA Trinh informed Licensee Lynn Scott that this report dated 5/28/24 document 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.

Also, LPA Trinh informed the Licensee to provide a copy of this licensing report dated 05/28/2024 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 was conducted with Licensee Lynn Scott. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above

End of the Report.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 05/28/2024 06:51 PM - It Cannot Be Edited


Created By: Vivian Trinh On 05/28/2024 at 04:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SCOTT, LYNN
FACILITY NUMBER: 304201134

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
05/28/2024
Section Cited
CCR
102416.5(d)(1)

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102416.5(d)(1) Staffing ratio and capacity (d) For a Large Family Child Care Home, the maximum number of children for whom
care may be provided at any one time..., shall be either:(1) Twelve children, no more than four of whom may be infants; or
This Requirement is not met as evidenced by:
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At 1:20 Pm, LPA Obseved one child being picked up by their parent. Licensee will develop a plan to ensure that followed and that the teachers are in ratio with during operation. The plan will be sent to the LPA in 7 day to confirm completion.
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Based on the interview and observation, LPA arrived at 12:45 Pm and observed the licensee caring for 2 school age children and 11 presschool children. This poses an health and saftey risk to the child in care..
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Type B
05/30/2024
Section Cited
HSC1596.8662(b)(1)

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(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (2) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
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Licensee stated they will renew the mandated reporter training and provide a copy of the certificate licensing department by the due date. LPA Trinh provided website www.mandatedreporterca.com
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Based on observation, interview, record review, at 12:45 PM during 2 staff file review licensee’s and assistant’s mandated reporter training certificate expired on 3/12/24. The licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Vivian Trinh
LICENSING EVALUATOR SIGNATURE:
DATE: 05/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/28/2024 06:51 PM - It Cannot Be Edited


Created By: Vivian Trinh On 05/28/2024 at 05:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: SCOTT, LYNN
FACILITY NUMBER: 304201134

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/30/2024
Section Cited
CCR
102416(c)

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102416(c) Personnel Requirements. The Licensee and other personnel as specified shall complete training on preventive health practices including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
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Licensee needs to send copy of card with name and EMSA stickers to Licensing Office by due date.
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Based on observation and review, the licensee failed to maintain cardiopulmonary resuscitation (CPR) was expried on 3/ 20/2024
. This poses a potential safety risk to 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.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Vivian Trinh
LICENSING EVALUATOR SIGNATURE:
DATE: 05/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2024


LIC809 (FAS) - (06/04)
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