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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310598
Report Date: 06/07/2024
Date Signed: 06/07/2024 03:47:28 PM

Document Has Been Signed on 06/07/2024 03:47 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ORTEGA, MARIAFACILITY NUMBER:
304310598
ADMINISTRATOR/
DIRECTOR:		ORTEGA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 731-9463
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
06/07/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Licensee Maria OrtegaTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
NARRATIVE
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(Page 1)
An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Giselle Lucero. LPA met with Licensee Maria Ortega. At 1:15 PM, LPA observed licensee and assistant caring for 3 infants and 7 school age children. There was 1 dog present in the facility and was securely separated from the childcare area located by the side patio.

A review of adult records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 10/31/2023 alleging a child sustained an injury while in care due to lack of supervision. It was reported the gated fence that keeps the dogs away from the children became open and the dog was with the children. Child #1 (C1) pulled the dog’s hair and the dog bit C1.

On 01/03/2024 the investigation for the complaint was Substantiated for Lack of Supervision, due to C1 sustaining injury by licensee's dog.

The childcare area consists of an enclosed patio, kitchen, living room, bathroom located in the hallway. There are working carbon monoxide, smoke detector, and fire extinguishers in the home that meet statutory and State Fire Marshall standards. Detergents, cleaning compounds, medicines, and other items which could pose a danger if readily available to children were stored inaccessible to children. Licensee stated there are no firearms and/or other dangerous weapons in the facility and none were observed during today's inspections. There is a fireplace in the living room covered with an iron gate. The home has age-appropriate toys for the ages served. LPA verified there is a working cellular service. Licensee stated they use the back yard as an outdoor play area. LPA observed a wooden gate by the side patio that separates the dog from the children, gate has an additional steel fence screen installed on the gate to prevent children from sticking their hands through the gate gaps.
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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTEGA, MARIA
FACILITY NUMBER: 304310598
VISIT DATE: 06/07/2024
NARRATIVE
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(Page 2)
There were no poisons or other items observed which could pose a danger to children or if they were observed, they were locked or inaccessible. There is community swimming pool which is not visible from the facility. Licensee stated she occasionally uses the pool for day care use.

The licensees does have a current roster of children in care. During staff file review licensee’s Pediatric CPR/First Aid certification expired 02/18/2025. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, 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, measles for licensee were reviewed and within compliance. During record review, LPA observed Staff #1 (S1) did not have a copy of the immunization records.

Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed providers and employees to complete mandated reporting training, and to renew the training every two years. During record review, LPA observed licensee and S1 did not have current mandated reporter certificates.

The licensees understand 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 and supervise children while absent. The substitute adult must have the required criminal record, child abuse index clearances, immunization, 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 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.

(Continue to page 3)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ORTEGA, MARIA
FACILITY NUMBER: 304310598
VISIT DATE: 06/07/2024
NARRATIVE
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(Page 3)
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for 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.

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/.

In the areas that were evaluated, 2 Type B deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. HSC (c)1597.622 Administration of Child Day Care Licensing and 1596.8662 (b)(1)Administration of Child Day Care Licensing.

Exit interview conducted and report was reviewed with the licensee Maria Ortega. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Licensee 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.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/07/2024 03:47 PM - It Cannot Be Edited


Created By: Giselle Lucero On 06/07/2024 at 02:30 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: ORTEGA, MARIA
FACILITY NUMBER: 304310598

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2024
Section Cited
HSC
1597.622(c)

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1597.622 Administration of Child Day Care Licensing (c) The family day care home shall maintain documentation of the required immunizations..., in the person’s personnel record that is maintained by the family day care home.
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Licensee stated she will send a copy of immunization records for Staff #1 to LPA by POC due date.
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This requirement is not met as evidenced by:Based on interview and record review, the Licensee did not have proof of immunization records for Staff #1. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
06/21/2024
Section Cited
HSC1596.8662(b)(1)

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1596.8662 Administration of Child Day Care Licensing (b)(1).....shall complete the mandated reporter training..... and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.This requirement is not met..
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Licensee stated she and staff #1 will complete the mandated reporter training and will send LPA a copy of the certficate by POC due date.
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as evidenced by: Based on record review, the licensee and staff #1 did not have a current mandated reporter certificate. This poses a potential health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME:Judy Hanson
LICENSING EVALUATOR NAME:Giselle Lucero
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2024


LIC809 (FAS) - (06/04)
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