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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310598
Report Date: 01/07/2025
Date Signed: 01/07/2025 03:03:59 PM

Document Has Been Signed on 01/07/2025 03:03 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: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: 5DATE:
01/07/2025
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee Maria OrtegaTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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(Page 1)
On this date Licensing Program Analyst (LPA) Giselle Lucero conducted a Case Management Inspection to ensure the facility is staying within compliance of Title 22 regulations. LPA met with Licensee Maria Ortega.

At 1:00 PM, LPA observed licensee and assistant caring for 3 infants, 1 preschool age children and 1 school age child. Licensee was operating within the licensed capacity as specified on license.

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 reporting 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.

During LPA's inspection on 01/07/2025, there was 1 dog present at the facility and was securely separated from the childcare area.

(continue to page 2)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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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: ORTEGA, MARIA
FACILITY NUMBER: 304310598
VISIT DATE: 01/07/2025
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(page 2)
LPA Lucero conducted an physical plant inspection and observed a wooden fence installed to ensure daycare children do not have access to the side patio, where the dogs are located. LPA also observed the Licensee installed a latch and a spring on the wooden gate door, making it self-closing gate, to ensure the door will be remained closed at all times. A wire mesh on the wooden gate door was also installed to ensure children do not have access to the dogs between the gaps of the wooden gate.

LPA also observed a functioning bug light zapper hanging from the roof located in the backyard.

In the areas that were evaluated, NO deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

The Notice of Site Visit was posted. Licensee 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. Licensee was provided a copy of their Appeal Rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Licensee was informed all appeals must be in writing and received by the Licensing office within 15 business days.

End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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