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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270248
Report Date: 09/09/2025
Date Signed: 09/09/2025 12:32:08 PM

Document Has Been Signed on 09/09/2025 12:32 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SOUTH COAST METRO CHILDREN'S VILLAGEFACILITY NUMBER:
304270248
ADMINISTRATOR/
DIRECTOR:		KETTERER, MAMIFACILITY TYPE:
850
ADDRESS:1510 BROOKHOLLOW DRIVETELEPHONE:
(714) 751-5437
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: 87TOTAL ENROLLED CHILDREN: 87CENSUS: 36DATE:
09/09/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Director-Mami, KettererTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On 09/09/2025, Licensing Program Analyst (LPA), K. Navar conducted an unannounced Case Management inspection for an INCREASE in capacity. Upon arrival, LPA met with Applicant/Director Mami, Ketterer. Facility is currently licensed for 87 preschool age children in room #3, #8B, and 8C, and Toddler Option room #8A and is seeking to increase capacity to #111 preschool children by adding room #7 to the preschool license.

Hours of operation will be M-F 6:30AM-6PM. Present during today’s inspection were a total of 36 preschool/toddler children with 7 staff. Appropriate ratios and supervision were observed. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal records and child abuse index clearances or exemptions.

All indoor and outdoor activity space utilized for the children were inspected today. LPA continued to tour the facility and measured indoor activity space for requested room #7 as 872.24/35” square feet = 24 which is sufficient to accommodate the requested increase capacity #99 preschool children and #12 toddler children (18 -36 months of age) with a total increase capacity request of #111 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping mats, bookshelves. The mats are stored in the storage area of the classroom; children bring napping items from home and they are taken home weekly to be washed. The facility has an option for families to purchase lunches for children, or they can bring them from home. AM/PM snacks are provided. Drinking water is available in the classrooms via filtered water and children cups are refilled as needed. LPA observed all hazardous items to be inaccessible. There are no bodies of water or weapons on the property. Fire clearance was granted on 07/10/2025. Continue to page 2.
NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SOUTH COAST METRO CHILDREN'S VILLAGE
FACILITY NUMBER: 304270248
VISIT DATE: 09/09/2025
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Facility has a wavier for toddler option program to have at least 1 (one) toilet and 1 (one) sink in the restroom designated for toddlers. LPA observed a total of 10 (ten) sinks and 8 (eight) toilets available and 1(one) toilet, and 1 (one) sink counted for was labeled and designated for toddlers. These are sufficient to accommodate the requested capacity of #99 preschool children and #12 toddlers in total count for request to be #111 children.

Facility has a waiver in place regarding outdoor space for preschoolers and the toddler option program. The facility has a fully fenced playground area. Fencing is vinyl and is at least four feet high and surrounding all playgrounds. The total square footage for all the outdoor activity space is 13378 square feet divided by 75 = 178 children, which is sufficient for the capacity request. The director stated preschoolers and toddlers use a rotating schedule for the grass playground area and there is a designated toddler play area that is fenced. The director stated that they follow the waiver in place and that children only commingle during the outdoor playground area during the hours listed on the waiver. LPA observed toddler playground to have sand and age-appropriate toys that is fenced in with a low fencing and measured 1795.50 square feet divided by 75 square feet =23 children. There is adequate cushioning in fall zones by mulch/grass/sand. Drinking water is available via sports bottles filled with filtered water. LPA observed all hazardous items on the playground to be inaccessible to children.

For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). Facility is in compliance.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.”

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Continue to page 3.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SOUTH COAST METRO CHILDREN'S VILLAGE
FACILITY NUMBER: 304270248
VISIT DATE: 09/09/2025
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LPA reviewed with director records to be maintained at the facility, for child’s records, personnel records, administrative records, and documents to be posted.”

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at:

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.”

Director was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. “

LPA reminded the Director that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities and that any changes to the facility must be reported to and approved by Community Care Licensing.

Exit interview conducted and report was reviewed with the director Mami, Ketterer. A notice of site visit was given to director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. End of Report.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Karen Navar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC809 (FAS) - (06/04)
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