304270837-4-30-2026-06-CC-LPHM-DTMPBB-20260430111003

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270837
Report Date: 04/30/2026
Date Signed: 04/30/2026 11:10:15 AM

Document Has Been Signed on 04/30/2026 11:10 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:	WESTMINSTER SCHOOL DISTRICT-SCHMITT STATE PRESCHOO		FACILITY NUMBER:	304270837
ADMINISTRATOR/ DIRECTOR:	DIANA DABABNEH		FACILITY TYPE:	850
ADDRESS:	7200 TRASK AVENUE		TELEPHONE:	(714) 894-7264
CITY:	WESTMINSTER	STATE: CA	ZIP CODE:	92683
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 19	CENSUS: 18	DATE:	04/30/2026
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Early Learning Program Supervisor Jessica Palacios		TIME VISIT/ INSPECTION COMPLETED:	11:45 PM

NARRATIVE

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On April 30, 2026, at 9:00am, Licensing Program Analyst (LPA) Long Pham conducted an unannounced case management incident inspection in response to a self-reported Unusual Incident dated 01/26/2026. Upon arrival, LPA met with an Early Learning Program Supervisor Jessica Palacios and was led on a tour of the facility. LPA observed 4 staff with 18 preschool children.

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.

On 01/26/2026, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. Staff #5 (S5) reported that on 01/16/2026 Staff #1 (S1) contacted Staff #4 (S4) regarding concerns about Staff #3 (S3) using inappropriate tones with staff, colleagues, and children. On the same day, S4 met with S3 and initiated an internal investigation. S5 received an email from S4 outlining a summary of the meeting. On 01/20/2026, S5 and S4 had a meeting with S3 to discuss the allegations, and S3 was placed on Administrative Leave.

During the investigation on 02/23/2026, LPA observed S3 was assigned to complete 4 additional training courses on 01/19/2026; including Children’s Personal Rights in Child Care, Child Care Reporting Requirements, Kenna SafeSchools Training (Communication Styles and Skills), and Review of Board Policy 4119.21(Professional Standards).

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NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Long Pham
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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: WESTMINSTER SCHOOL DISTRICT-SCHMITT STATE PRESCHOO	FACILITY NUMBER: 304270837
	VISIT DATE: 04/30/2026

NARRATIVE

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During the staff interviews conducted on 02/23/2026, S1 stated that on 01/07/2026, S1 observed S3 intentionally stepped on the child #1’s heels (C1). Then S3 asked C1, "Do you like it and how do you feel?" S1 observed C1 replied “OWWWWWW”. On 01/13/2026, S1 observed S3 grab C1’s right upper arm and said, “move it and stay in line” in a very loud voice. S1 also saw S3 yell at C1 when S3 pulled C1 out of the restroom. Staff #2 (S2) stated that on 01/07/2026, S2 saw S3 yell loudly at the child #2 (C2) because C2 was acting out in the classroom. Following S4’s investigation into the three incidents, S4 stated that S3 admitted that S3 intentionally stepped on C1’s heels to correct C1’s behaviors. S5 and S4 met with S3 on 02/19/2026 to discuss the allegations, and they decided to discipline S3 for unprofessional conduct toward children; S3 will remain on Administrative Leave for the remainder of the school year.

Based on the information gathered from the self-reported unusual incident report, staff interviews, and records review, it was determined that S3 intentionally stepped on C1’s heels and was placed on Administrative Leave for unprofessional conduct toward children. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06. Continuing Requirements, 101223(a)(3) Personal Rights is being cited. See LIC809D for deficiency cited.

LPA informed an Early Program Supervisor Jessica Palacios that this report dated 04/30/2026 document(s) One Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA informed an Early Program Supervisor Jessica Palacios to provide a copy of this licensing report dated 04/30/2026 that documents any Type A citation(s) 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 and report was reviewed with an Early Learning Program Supervisor Jessica Palacios.

A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The director was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above. End of Report. Page 2 of 2

NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Long Pham
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/30/2026 11:10 AM - It Cannot Be Edited

Created By: Long Pham On 04/30/2026 at 09:42 AM

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: WESTMINSTER SCHOOL DISTRICT-SCHMITT STATE PRESCHOO	FACILITY NUMBER: 304270837
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/30/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/01/2026 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223(a)(3) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation... This requirement is not met as evidenced by	1 2 3 4 5 6 7	An Early Learning Program Supervisor Jessica Palacios stated that the facility already placed S3 on Administrative Leave effective 1/20/2026 until June 2026 which is S3’s retirement date and S3 will never come back to the facility again. Jessica will provide the personal rights training course to all staff again and email LPA the confirmation letter or sheet on or before 05/15/2026.
	8 9 10 11 12 13 14	Based on the self-reported unusual incident report, staff interviews, and records review, it was determined that S3 intentionally stepped on C1’s heels and the facility placed S3 on Administrative Leave for unprofessional conduct toward children which poses an immediate health, safety or personal rights risk to the persons in care.	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.

	Tina Nguyen
NAME OF LICENSING PROGRAM MANAGER:

	Long Pham
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC809 (FAS) - (06/04)

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