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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270930
Report Date: 05/09/2025
Date Signed: 05/09/2025 01:51:12 PM

Document Has Been Signed on 05/09/2025 01:51 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:WESTMINSTER SCHOOL DISTRICT-MEAIRSFACILITY NUMBER:
304270930
ADMINISTRATOR/
DIRECTOR:		TSAI, ELLYFACILITY TYPE:
850
ADDRESS:8441 TRASK AVENUETELEPHONE:
(714) 630-9450
CITY:GARDEN GROVESTATE: CAZIP CODE:
92844
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
05/09/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Carolyn WertheimTIME VISIT/
INSPECTION COMPLETED:
01:55 PM
NARRATIVE
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Licensing Program Analyst (LPA) Silva conducted a Case Management – Incident to investigate an self reported incident received on 5/1/2025. Upon arrival, the LPA met with Early Ed. Assistant Artemiza Ramirez and conducted a tour fo the facility. Coordinator of Early Education Carolyn Wertheim arrived a moment later to assist with the investigation. An on-site facility personnel report summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The census was 18 children with three fully qualified Early Education Assistants. The facility was operating within ratios and capacity.

During the visit, the LPA interviewed four staff who were present at the facility. Staff #2 and #3 disclosed they witnessed the allegations and provided details about the personal rights violations of the children, including Staff #1 (S1) yelling in front of the children, S1 yelling at the children, and S1 physically handling the children in a rough, inappropriate manner. S2 disclosed they observed S1 pulling Child #2 to make them sit on a chair. The rest of the staff did not witness the incident and did not have any information about the allegation.

The LPA interviewed five children at the facility. Children were asked to distinguish between true and false statements, to identify colors correctly, and to practice saying “I don’t know” and “I don’t remember” as part of the qualifying process. Child #3 qualified for the interview. Child #3 (C3) disclosed that S1 was "mean" and "yelled" at C3 when C3 didn’t listen to S1. C3 also disclosed that S1 yelled at other children and "put them on the chair." The rest of the children did not qualify and did not disclose any information regarding the allegations.

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NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Archibaldo Silva
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025
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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Document Has Been Signed on 05/09/2025 01:51 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 05/09/2025 at 01:02 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: WESTMINSTER SCHOOL DISTRICT-MEAIRS
FACILITY NUMBER: 304270930

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
05/12/2025
Section Cited
CCR
101223(a)

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101223(a) Personal Rights ... child is accorded the following personal rights. (1) ... dignity in his/her personal relationships with staff ... (2) ... safe, healthful ... accommodations...
This regulation was not met as evidenced by:
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The licensee agreed to provide training to the staff on the personal rights of the children and the reporting requirements. The licensee agreed to document the training and and obtain signature on an attendance sheet to corroborate staff participation.
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Based on interview statements, the licensee did not meet the regulation above, which posed/poses health, safety, and personal rights risks to children in care. In interviews staff or a child disclosed S1 yelled at the children, yelled at the staff in front of children, and rough handled the children.
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The faiclity representative will send proof of completion to the LPA by the due date.
The licensee will report the Type A citation to the parents/guardians of children as required by regulations and as documented on the licensing report.

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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.
Thuy Ho
NAME OF LICENSING PROGRAM MANAGER:
Archibaldo Silva
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2025


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: WESTMINSTER SCHOOL DISTRICT-MEAIRS
FACILITY NUMBER: 304270930
VISIT DATE: 05/09/2025
NARRATIVE
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Based on the interviews conducted, the preponderance of evidence standard has been meet. Violations of the CCR Title 22, Section 101223(a) Personal Rights were identified and cited during the visit (see attached LIC809D).

Per CCR 101223(a)(1)(2) The licensee shall ensure that each child is accorded the following personal rights. (1) To be accorded dignity in his/her personal relationships with staff and other persons. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

LPA A. Silva informed the facility representative Carolyn Wertheim that this licensing report dated 5/9/2025 documents one “Type A” citation. Type A citation must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk or risks to the health, safety, or personal rights of children in care. The representative was also informed that a copy of this licensing report must be provided the parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care, a copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report, a signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report.

A notice of site visit was issued. The notice of site visit must remain posted for 30 days. The representative received a copy of the appeal rights (LIC 9058) and a copy this report, and their signature on this form acknowledges receipt of these documents. The report was reviewed and the appeal rights discussed with the representative. First level appeals must be in writing and received by the Regional Office within 15 business days.

End.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Archibaldo Silva
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2025
LIC809 (FAS) - (06/04)
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