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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270036
Report Date: 04/12/2024
Date Signed: 04/12/2024 11:12:47 AM

Document Has Been Signed on 04/12/2024 11:12 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:FULLERTON FREE PRESCHOOLFACILITY NUMBER:
304270036
ADMINISTRATOR/
DIRECTOR:		GUNTER, ANGELAFACILITY TYPE:
850
ADDRESS:2801 BREA BLVD.TELEPHONE:
(714) 529-5544
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 225TOTAL ENROLLED CHILDREN: 225CENSUS: 56DATE:
04/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Director Angela GunterTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
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On 04/12/24 at 8:50am, a case management inspection was conducted by Licensing Program Analyst (LPA) Anna Chan who met with the Director, Angela Gunter. LPA was led on a tour of the facility. There were 12 staff present and 56 children in care. A self-reported incident by the facility was received at the regional office on 04/09/24 which stated that on 4/8/24, child #1 (C1) got injured while playing in the climbing structure.

A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the course of the investigation, LPA interviewed 4 staff and C1's parent, obtained a copy of the children's roster (LIC 9040), C1’s sign in and out for 4/8/24, and video footage of the day of the incident.

At this time, no further action is required for this case management regarding the incident. Exit interview conducted with Director Angela Gunter and notice of site visit must be posted at entrance of facility. Notice of site visit is to remain posted for no less than 30 days. Failure to post will result in civil penalties of $100. Appeal Rights was explained.

End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024
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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