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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304310159
Report Date: 02/21/2024
Date Signed: 02/21/2024 04:31:41 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
02/12/2024 and conducted by Evaluator Romelia M Castanon
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240212133650
FACILITY NAME:PEREIRA, BELINDAFACILITY NUMBER:
304310159
ADMINISTRATOR:PEREIRA, BELINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 717-3509
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY:14CENSUS: 16DATE:
02/21/2024
UNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Licensee Belinda PereiraTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is operating outside of license terms and conditions
INVESTIGATION FINDINGS:
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On 02/21/2024, Licensing Program Analysts (LPA) Romy Castanon and Christine Jung made an unannounced visit to the facility to conduct a complaint investigation. A complaint was received at the Orange County Regional Child Care Program Office on 02/12/2024. LPAs met with Licensee Belinda Pereira and explained the reason for today’s visit. Observed at the time of the visit was a total of 16 children and Assistant #1 (A1). Licensee’s adult son (Adult #1, AD1) was also present at the time of visit.
A review of the Facility Personnel Report Summary on 02/21/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 02/12/2024, the Regional Office received a complaint report alleging the facility is operating outside of license terms and conditions. The complaint stated there is an average of 15-18 children that attend childcare a day. LPA attempted to contact Reporting Party (RP) on 02/14/2024 to obtain further details, however LPA was unable to make contact with the RP.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
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 3
Control Number 06-CC-20240212133650
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: PEREIRA, BELINDA
FACILITY NUMBER: 304310159
VISIT DATE: 02/21/2024
NARRATIVE
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During the walkthrough of the living room/daycare area with Licensee, she stated there were 12 children in attendance including one (1) infant. LPA observed children laying down on individual sleep sacs, play yards and one child was laying on the couch. LPA’s counted 13 children in the living room/daycare area. At this time AD1 came downstairs to the kitchen area. LPA Castanon heard thumping noises coming from upstairs and asked Licensee if there was anyone upstairs. Licensee stated it was AD1, although they were on the same floor, in the kitchen. LPA Jung observed a child on the stairwell asking if they can return downstairs. LPA Castanon followed AD1 to an upstairs bedroom that is considered off-limits area on the facility sketch LIC999. LPA discovered three (3) children standing in the bedroom. AD1 stated they were watching the children as a favor for a friend. AD1 could not recall their friend’s last name or contact information.

LPA interviewed licensee after sending the children back downstairs to their napping area. Licensee initially stated the three (3) children in the upstairs bedroom were not a part of the daycare and were AD1’s friend’s children when LPAs observed the children at the stairs. Licensee then informed LPAs that those three (3) children are usually picked up at 12:00pm every day, but all four parent/guardians were late picking them up. Licensee continued calling parents and four (4) children were picked up between 12:45pm-1:00pm.

LPA Jung reviewed the facility roster and determined there were four (4) infants in care at the time of the LPAs visit. LPAs reminded Licensee that per licensing regulations, they can only care for three (3) infants if caring for more than 12 children. Licensee arranged for one (1) infant picked up, and they were picked up at 1:30pm.

Based on LPA’s observation and interview with Licensee, the preponderance of evidence standard has been met, therefore the above allegation facility is operating outside of license terms and conditions is substantiated. California Code of Regulations, Title 22, Division 12, 102416.5 is cited on the attached LIC9099D.

Exit interview was conducted with Belinda Pereira. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Licensee was provided a copy of their appeal rights (LIC 9058) 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.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.(End of Report)

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240212133650
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: PEREIRA, BELINDA
FACILITY NUMBER: 304310159
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/22/2024
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
This requirement was not met as evidenced by:
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Licensee stated they will contact four (4) parents and inform them to find alternative care effective immediately. Licensee will submit an updated facility roster to LPA by POC date 02/22/2024.
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Based on LPA's observations there were 16 children including 4 infants in care at the time of the licensing visit. License states the max capacity is 12 w/assistant and no more than 4 infants or max 14 no more than 3 infants...This is an immediate health, safety or personal rights risk to 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: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
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