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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304300227
Report Date: 06/01/2026
Date Signed: 06/01/2026 01:34:00 PM

Document Has Been Signed on 06/01/2026 01:34 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:SUH, OLIVIAFACILITY NUMBER:
304300227
ADMINISTRATOR/
DIRECTOR:		SUH, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 562-8800
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
06/01/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Suh, Olivia (Licensee) TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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***The inspection was conducted using Focus Interpreting - Translator ID: 224924, who assisted with translating the discussion and report from English to Korean.***

On 06/01/2026, an unannounced Annual/Random inspection was conducted at the facility by Licensing Program Analyst (LPA) V. Trinh. LPA observed the licensee and assistant Suh, Jeong, caring for a total of four (4) children. During the inspection, LPA observed one (1) infant and three (3) preschoolers playing in the daycare room. The licensee stated that the total enrollment is four (4) children, and that the children are on a staggered schedule and arrive at different times throughout the day, and are aware that they cannot exceed the capacity ratio of 14 children at any one time. The facility was operating within the licensed capacity as specified on the license.



CRIMINAL RECORD CLEARANCE: The Facility Personnel Report Summary reviewed on this 06/01/2026 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. License was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. A civil penalty of $100.00 per day, for a maximum of 5 days, or, if the violation is a repeat, $100.00 per day for a maximum of 30 days per person, will be assessed if this regulation is violated. Currently, there are two (2) adults, including the licensee, and zero (0) minor children living in the facility. Facility hours are 8:00 AM – 6:00 PM, Monday through Friday. Continued page 2.
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 10
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 06/01/2026 01:34 PM - It Cannot Be Edited


Created By: Vivian Trinh On 06/01/2026 at 11:30 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: SUH, OLIVIA
FACILITY NUMBER: 304300227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(2)(A)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: (A) A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation interview, and record review. The licensee did not comply with the section cited above, LPA observed there was no life ring with a minimum exterior diameter of 17 inches and was labeled by the United States Coast Guard as available, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee stated she will find a life ring that meets the requirements by the POC due date.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review. The licensee did not comply with the section cited above, the licensee was unable to provide CPR certification documentation, either in hard copy or electronic format, for LPA review, which posed a potential health, safety, or personal rights risk to persons in care.
POC Due Date: 06/26/2026
Plan of Correction
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The licensee has an appointment with Pediatric/First Aid Certificate. The licensee will provide a copy of the certificate by the due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Vivian Trinh
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2026


LIC809 (FAS) - (06/04)
Page: 3 of 10
Document Has Been Signed on 06/01/2026 01:34 PM - It Cannot Be Edited


Created By: Vivian Trinh On 06/01/2026 at 11:30 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: SUH, OLIVIA
FACILITY NUMBER: 304300227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(a)
Child's Records
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review. The licensee did not comply with the section cited above. LPA observed that Child #4 (C4), an infant, was not listed in the facility records. The licensee stated that the child had just started attending the daycare on 05/29/2026which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/05/2026
Plan of Correction
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Licensee states Licensee will submit an updated file for Child #4 (C4), to LPA by due date.
Type B
Section Cited
HSC
1596.814(a)(3)(a)
HSC 1596.814(a)(3) (a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (3) A licensee shall perform a daily inspection of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of the inspections to be provided to the department upon request

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review. The licensee did not comply with the section cited above. LPA observed that the daily inspection log chart had not been completed. The last checklist entry was dated 09/30/2025, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee stated that they will maintain a log of daily inspections for pool safety and equipment and provide a copy to LPA via email by due date
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Vivian Trinh
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2026


LIC809 (FAS) - (06/04)
Page: 4 of 10
Document Has Been Signed on 06/01/2026 01:34 PM - It Cannot Be Edited


Created By: Vivian Trinh On 06/01/2026 at 11:52 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: SUH, OLIVIA
FACILITY NUMBER: 304300227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(1)(B)(a)
A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features: (B) In addition to the characteristics described in subparagraph (A), at least one of the following: This requirement is not met as evidenced by:

Deficient Practice Statement
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Based on observation, interview, and record review. During the inspection and interview, LPA observed that the licensee's pool alarm was not functioning. The licensee stated that her husband did not know how to operate the pool alarm. The licensee stated that her husband did not know how to operate the pool alarm, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee stated they will make sure a pool alarm is functioning, and send LPA proof email by due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Vivian Trinh
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2026


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: SUH, OLIVIA
FACILITY NUMBER: 304300227
VISIT DATE: 06/01/2026
NARRATIVE
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page 2.
During today’s inspection, LPA and licensee toured the interior and exterior of the facility, sketching LIC 999 as accessible to children. This is a two-story home with 3 bedrooms and 3 bathrooms. License has installed a safety gate at the bottom of the stairs leading to the 2nd floor, ensuring they are inaccessible to children in care.
Off-limits areas are made inaccessible using baby gates, doorknobs, or latches.
License stated that OFF-LIMITS areas include: all bedrooms, garage, backyard, side yard, storage, and backyard shed. The licensee acknowledged that children may never enter these off-limit areas.

INDOOR INSPECTION: The daycare areas consisted of a 2nd living room at the end of the hallway, a downstairs bathroom in the hallway, and a section of the backyard. There is direct access to the backyard from the living room, where care is provided. During today's inspection, each child was observed to have safe, healthful, and comfortable accommodation, furnishings, and equipment.

ON-SITE FOOD PREPARATION: The facility does provide breakfast, lunch, and snacks to the children. At the time of inspection, food prep areas were clean and sanitary, and food was properly stored. Filtered drinking water is available to children in care. The LPA observed that the facility’s floors, equipment, furniture, and clients’ bathrooms were clean and in good repair.

There are working carbon monoxide and smoke detectors that should be type 2A-10BC, and fire extinguishers in the home that meet statutory and State Fire Marshal standards. Detergents, cleaning compounds, medicines, and other items that could pose a danger if readily available to children were stored in an inaccessible location to children. There were no poisons or other items observed that could pose a danger to children; if any were observed, they were locked or inaccessible. The license states there are no firearms or other dangerous weapons in the facility, and none were observed during today's inspections.

The Licensee/Assistant is aware that each FCCH shall conduct fire drills and disaster drills at least once every six months. A record review shows that the last drill was documented on 12/1/2025. LPA verified that there is a working telephone service (cellular service). The licensee was reminded that the childcare phone needs to remain in the childcare at all times. Continued page 3.
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
Page: 6 of 10
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: SUH, OLIVIA
FACILITY NUMBER: 304300227
VISIT DATE: 06/01/2026
NARRATIVE
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The garage will not be used for day care. The Licensee stated the garage will be off-limits

OUTDOOR INSPECTION: The outdoor activity space was inspected for compliance. The space was enclosed by a fence at least five feet in height. The surface of the outdoor activity space was maintained and free of hazards. The licensee stated that they use a section of the backyard for outdoor play. The outdoor play area is separated by a gate. On the other side of the gate is an in-ground swimming pool.

Bodies of Water:
LPA inspected and completed the bodies of water checklist. The facility has a pool with a surrounding gate that has a minimum height of 60 inches, and an access gate that opens away from the swimming pool and is self-closing with a self-latching, key-lockable device placed no lower than 60 inches above the ground. A maximum vertical clearance of two inches from the ground to the bottom of the enclosure. No gaps or voids that can allow the passage of a sphere with a diameter equal to or greater than four inches. An alarm that, when placed in a swimming pool. During the inspection and interview, LPA observed that the licensee's pool alarm was not functioning. The licensee stated that her husband did not know how to operate the pool alarm. (see LIC 809D for deficiency). During the inspection and interview, LPA observed there was no life ring with a minimum exterior diameter of 17 inches and was labeled by the United States Coast Guard as available; (see LIC 809D for deficiency). A rescue pole with a body hook and a minimum fixed length of 12 feet. During the inspection and interview, LPA observed that the daily inspection log chart had not been completed. The last checklist entry was dated 09/30/2025; (see LIC 809D for deficiency).

LPA discussed Assembly Bill 2866 regarding in-ground swimming pool safety requirements and provided licensee PIN 25-01-CCP Chaptered Legislation Affecting Childcare Facilities.

The licensee does have a current roster of children in care of three (3) children records for children present during the LPA inspection time. Children’s records for children present during LPA’s inspection were reviewed for a copy of the emergency information card that contains all the information specified by regulation (LIC 700), Immunization records, Affidavit Regarding Liability Insurance (LIC282), Consent for Emergency Medical Treatment (LIC627), Notification of Parents’ Rights (LIC995A), and found to be in compliance. Continued page 4.
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
Page: 7 of 10
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: SUH, OLIVIA
FACILITY NUMBER: 304300227
VISIT DATE: 06/01/2026
NARRATIVE
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Page 4
During the record review and interview, LPA observed that Child #4 (C4), an infant, was not listed in the facility records. The licensee stated that the child had just started attending the daycare on 05/29/2026. The licensee stated that there is one (1) infant under 24 months enrolled in the childcare.

The licensee and assistant’s Pediatric CPR/First Aid certification does not exist. During the record review and interview, the licensee was unable to provide CPR certification documentation, either in hard copy or electronic format, for LPA review. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states that a person shall not be employed or volunteer at a family childcare home if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis and measles for the licensee and the assistant was reviewed and found to be in compliance. Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed providers and employees to complete mandated reporting training and renew it every 2 years. The licensee and employees are exempt from this requirement due to the training not being available in Korean.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22- 02-CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

The licensee understands she must be present in the facility and must ensure children in care are always supervised. Children are not to be left alone in parked vehicles. When the licensee is temporarily absent from the facility, arrangements must be made for a qualified substitute adult to care for and supervise children while the licensee is absent. The substitute adult must have the required criminal record, child abuse index clearances, immunizations, Pediatric CPR/First Aid, and mandated reporter training. LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian



CCLD website www.cdss.ca.gov/inforesources/community-care-licensing was provided to the licensee to access regulations, updates, and licensing forms. Licensee was advised to register through childcareadvocatesprogram@dss.ca.gov in order to receive quarterly updates. Licensee was advised of their responsibility to review the Provider Information Notices (PIN) found on the CCLD website. A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the licensee. Continued page 5
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
Page: 8 of 10
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: SUH, OLIVIA
FACILITY NUMBER: 304300227
VISIT DATE: 06/01/2026
NARRATIVE
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page 5.
LPA discussed the safe sleep regulations with licensee Suh, Olivia, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee Suh, Olivia of the importance of checking for and removing any 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.

Licensee Suh Olivia was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

The facility was not in compliance, and violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today: Pool Safety, HSC 1596.814(a)(1) (B)(a), Pool Safety HSC 1596.814(a)(3) (a), Pool Safety HSC 1596.814 (a)(3)(a), Personnel Requirements CCR 102416(c), Child Record, CCR 102421 (a). (see LIC 809D)

Licensee Suh Olivia was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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. Continued page 6.
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
Page: 9 of 10
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: SUH, OLIVIA
FACILITY NUMBER: 304300227
VISIT DATE: 06/01/2026
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may be sent to the provided email address. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information about the inspection, its tools, and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During the exit interview, Suh Olivia confirmed that there are no Registered Sex Offenders living in the facility, and LPA completed the RSO profile in FAS. The Appeal Rights were explained. The licensee received a copy of the Appeal Rights

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

End of Report.
NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
Page: 10 of 10