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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270977
Report Date: 12/17/2024
Date Signed: 12/17/2024 02:36:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
09/26/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240926082439
FACILITY NAME:KIDS ADVENTURE LEARNING CENTERFACILITY NUMBER:
304270977
ADMINISTRATOR:MEGAN PHANFACILITY TYPE:
850
ADDRESS:1834 W. VALENCIA DRIVETELEPHONE:
(714) 525-7377
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY:83CENSUS: 43DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Director Megan PhanTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Facility staff failed to report an incident to authorized representative.
INVESTIGATION FINDINGS:
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On 12/17/2024, at 9AM Licensing Program Analysts (LPAs), Anna Chan and Olivia Meza conducted an unannounced Complaint investigation inspection to deliver findings for the investigation initiated on 10/1/24. Upon arrival, LPAs met with Assistant Director Maria Lopez. LPAs informed assistant director of the purpose of the visit and was led on walkthrough of the facility and a census was taken. LPAs observed 5 staff and 43 preschool children. Children were napping when LPAs arrived. Director Megan Phan continued with the visit.

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.

The Department received a complaint on 9/26/2024 alleging the facility staff failed to report an incident to authorized representative.
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 06-CC-20240926082439
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: KIDS ADVENTURE LEARNING CENTER
FACILITY NUMBER: 304270977
VISIT DATE: 12/17/2024
NARRATIVE
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LPA Chan interviewed the reporting party (RP). RP stated that on 9/20/24, staff #5 (S5) told Child 1’s (C1) authorized representative they noticed that C1’s eyes were red the previous day on 9/19/24; however, the authorized representative was not notified regarding C1’s eye condition.

LPA interviewed staff. S5 stated they noticed C1’s eyes were red and had line marks on eyelids, S5 admitted they did not inform C1’s authorized representative. None of the parents interviewed disclosed any information that could support the allegation. None of the children interviewed disclosed any information that could support the allegation.

Based on interviews conducted, and facility records reviewed, C1’s authorized representative was not notified on the redness on C1’s eye. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the complaint is substantiated, and the allegations are valid. See LIC9099D for a Type B deficiency.

An exit interview was conducted with Director, Megan Phan. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

Page 2 of 2
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20240926082439
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: KIDS ADVENTURE LEARNING CENTER
FACILITY NUMBER: 304270977
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2025
Section Cited
CCR
101212(f)
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Reporting Requirements
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
This requirement was not met as evidenced by:
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Director stated they will do a staff training on communicating with parents esp on incidents or concerns of children and will provide a copy of training to LPA by due date of 1/17/25
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Based on interviews conducted, and facility records reviewed, C1’s authorized representative was not notified on the redness on C1’s eye,. This poses as a potential risk to the health and safety of children in care.
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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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
09/26/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240926082439

FACILITY NAME:KIDS ADVENTURE LEARNING CENTERFACILITY NUMBER:
304270977
ADMINISTRATOR:MEGAN PHANFACILITY TYPE:
850
ADDRESS:1834 W. VALENCIA DRIVETELEPHONE:
(714) 525-7377
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY:83CENSUS: 43DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Director Megan PhanTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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2
3
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5
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8
9
Daycare staff poke the child
INVESTIGATION FINDINGS:
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12
13
On 12/17/2024, at 1:40pm Licensing Program Analysts (LPAs), Anna Chan and Olivia Meza conducted an unannounced Complaint investigation inspection to deliver findings for the investigation initiated on 10/01/24. Upon arrival, LPAs met with Assistant Director Maria Lopez. LPAs informed assistant director of the purpose of the visit and was led on a walkthrough of the facility and a census was taken. LPAs observed 5 staff and 43 preschool children. Children were napping when LPAs arrived. Director Megan Phan continued with the visit.

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.

The Department received a complaint on 9/26/2024 alleging daycare staff poke the child.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20240926082439
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: KIDS ADVENTURE LEARNING CENTER
FACILITY NUMBER: 304270977
VISIT DATE: 12/17/2024
NARRATIVE
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LPA Chan interviewed the reporting party (RP). RP stated, RP noticed marks on Child 1’s (C1) eyes after pick up. RP stated they took C1 to the urgent care for a medical diagnosis.

LPA interviewed staff at the facility. Staff stated they did not witness any staff poke a child in the eye. LPA conducted an interview with C1, LPA was not able to qualify C1 during interview. None of the parents interviewed disclosed any information that could support the allegation. None of the children interviewed disclosed any information that could support the allegation.

Based on interviews conducted, Social Services Agency Report and facility records reviewed, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Director, Megan Phan. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

Page 2 of 2
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5