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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313756
Report Date: 09/17/2024
Date Signed: 09/17/2024 01:29:25 PM

Document Has Been Signed on 09/17/2024 01:29 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:VILLA DE VALDOVINOS, YEIMIFACILITY NUMBER:
304313756
ADMINISTRATOR/
DIRECTOR:
VILLA DE VALDOVINOS, YEIMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 785-6041
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
09/17/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:LIcensee-Yeimi Villa De ValdovinosTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 9/17/24, at 12:45PM Licensing Program Analyst (LPA), Navar conducted a visit for the purpose of a Plan of Correction (POC). LPA observed licensee Yeimi Villa De Valdovinos and 1 assistant caring for 4 infants and 6 preschoolers inside the day-care room eating lunch. Licensee was operating within the licensed capacity as specified on license. Facility Day care hours are 7:30 AM - 5:30PM, Monday through Friday.

A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 8/20/2024 LPA conducted a 3-year annual inspection. During inspection of pool gate, gate did not self-latch and licensee pushed the gate closed with her hand which poses an immediate health, safety or personal rights risk to persons in care. Licensee stated that she has a key lock on the gate and keeps it locked. A Type A citation was issued 102417(g)(5). (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

On 9/17/2024 In the areas that were evaluated, the plan of correction was in compliance and no deficiency was observed of the California Code of Regulations, Title 22, Division 12 section 102417(g)(5).

During today’s interview and observations with licensee Yeimi Villa De Valdovinos, LPA observed licensee open gate and let go of gate. Gate closed and latched with no assistance.

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



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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: VILLA DE VALDOVINOS, YEIMI
FACILITY NUMBER: 304313756
VISIT DATE: 09/17/2024
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Exit interview conducted and report was reviewed with the licensee Yeimi Villa De Valdovinos. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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