304206171-6-1-2023-06-CC-JHAN-CSMRVJ-20230609132134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304206171
Report Date: 06/01/2023
Date Signed: 06/01/2023 11:28:38 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
05/26/2023 and conducted by Evaluator Dean Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20230526151718

FACILITY NAME:	OSORIO, YOLANDA		FACILITY NUMBER:	304206171
ADMINISTRATOR:	OSORIO, YOLANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 336-2618
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	14	CENSUS: 4	DATE:	06/01/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Yolanda Osorio		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Licensee falsifying documents

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Thompson conducted an unannounced complaint investigation on today’s date. Upon arrival LPA met with licensee Yolanda Osorio. LPA observed 4 children present during the time of investigation. The Orange County Child Care Office received a complaint 5/26/2023 with one (1) allegation.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

During the investigation LPA interviewed licensee, obtained facility roster, and took pictures of the reimbursement check to The Orange County Department of Education.

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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230526151718

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: OSORIO, YOLANDA	FACILITY NUMBER: 304206171
	VISIT DATE: 06/01/2023

NARRATIVE

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On 5/31/2023 LPA interviewed Reporting Party (RP). RP stated licensee had falsified attendance sheets and submitted the documents for reimbursement payments to The Department of Education for child #1 (C1) who has not attended day-care since November 2022.

on 5/31/2023 LPA interviewed the parent (P1) of C1. P1 stated C1 has not attended the day care since the last day in November 2022. P1 stated they moved out of state on December 1, 2022. LPA received messages from P1 showing she informed licensee on 11/5/2022 that C1 will not be attending the day-care in December 2022.

On 6/1/2023 licensee was interviewed and questions were translated in Spanish by Licensing Program Analyst (LPA) Giselle Lucero via phone call at 9:44 am.

During the interview, licensee was asked; when was the last day C1 attended the day care? Licensee stated (C1) has not attended the day care since November 2022. Licensee was also asked who signed the parent signature on C1 attendance sheets for December 2022, February 2023, and March 2023? Licensee stated "I did! Im sorry, I returned the money back to the Department of Education last week." Licensee provided LPA with a copy of the check showing she reimbursed the Department of Education on 5/22/2023. Licensee provided LPA with the facility roster which shows C1 has not attended since 12/1/2022.

Based on LPA observations, documentation, interview with RP, P1, and licensee who stated she signed the parent signature section on the attendance sheets for December 2022, February 2023, and March 2023 then submitted the forms to the Department of Education for reimbursements, although C1 has not attended the day-care since November 2022, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, is being cited on the attached LIC 9099 D for the deficiency section Health and Safety Code 1596.885(c) Denial, suspension or revocation of license, registration, or special permits; grounds

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230526151718

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: OSORIO, YOLANDA	FACILITY NUMBER: 304206171
	VISIT DATE: 06/01/2023

NARRATIVE

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Exit interview conducted and report was reviewed with licensee Yolanda Osorio. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights and deficiencies were discussed. Licensee Yolanda Osorio was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

This report dated 6/1/2023 was translated in Spanish to licensee Yolanda Osorio by LPA Giselle Lucero at 11:07 am via phone call.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230526151718

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: OSORIO, YOLANDA	FACILITY NUMBER: 304206171
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/01/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/01/2023 Section Cited HSC 1596.885(c)	1 2 3 4 5 6 7	1596.885 Denial, suspension or revocation of license, registration, or special permits; grounds (c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met by:	1 2 3 4 5 6 7	Licensee provided LPA a copy of the check showing she reimbursed The Department of Education on 5/22/2023. The licensee states that she acknowledges the violation and it will not occur again.
	8 9 10 11 12 13 14	Based on LPA observations, documentation, interview with RP, P1, and licensee who stated she signed the parent signature section on the attendance sheets for December 2022, February 2023, and March 2023 then submitted the forms to the Department of Education for reimbursements, although C1 has not attended the day-care since November 2022	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

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