304370487-12-6-2023-06-CC-JHAN-CYB2ZG-20231207165015

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370487
Report Date: 12/06/2023
Date Signed: 12/06/2023 11:16:38 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
10/06/2023 and conducted by Evaluator Giselle Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20231006110635

FACILITY NAME:	DREAM-I EDUCATION CENTER		FACILITY NUMBER:	304370487
ADMINISTRATOR:	KIM, EUNICE		FACILITY TYPE:	850
ADDRESS:	1700 WEST LA HABRA BLVD.		TELEPHONE:	(562) 266-1004
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	113	CENSUS: 54	DATE:	12/06/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Director Eunice Kim		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Staff did not prevent hand, foot, and mouth outbreak.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Giselle Lucero and Cynthia Sun conducted an unannounced visit to deliver the findings for the above allegation. Upon arrival LPAs met with Director Eunice Kim and toured the facility. At 9:50 AM LPA observed a total of 54 children with 7 staff.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

On 10/06/2023 the Orange County Child Care Office received a complaint alleging Staff did not prevent hand, foot, and mouth outbreak. Reporting Party (RP) stated several children have been exposed to Hand, Foot, and Mouth disease. RP disclosed staff did not take necessary precautions to prevent an outbreak.
(continue to page 2)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle Lucero	TELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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 5

Control Number 06-CC-20231006110635

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: DREAM-I EDUCATION CENTER	FACILITY NUMBER: 304370487
	VISIT DATE: 12/06/2023

NARRATIVE

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(page 2)
During staff interviews on 10/12/2023, Staff #1 (S1) and Staff #2 (S2) disclosed being aware of a Hand, Foot, and Mouth Disease outbreak at the facility. S1 and S2 stated on Wednesday 09/27/2023, S1 and S2 were cleaning the children’s hands and noticed blisters on Child #1’s (C1) hands. S2 stated Staff #5 (S5) was called into the classroom to report the blisters. S5 told S1 and S2 the blisters are the Hand, Foot and Mouth disease. S2 requested S5 to show S1 and S2, C1’s doctor’s note of clearance for child to be present in the classroom. S2 stated doctor’s note was not provided until Monday 10/02/2023. S1 and S2 stated they came into their classroom on 10/03/2023, to sanitize the classroom. S1 and S2 disclosed administration did not perform a health inspection as children were being dropped off. S1 and S2 stated when they were washing the children’s hands, they were checking their hands and observed 6 other children with blisters under their tongue, inside their lips, and on their hands. S1 and S2 are unaware if parents were notified regarding outbreak. Staff #3 (S3) stated being aware of the Hand, Foot, and Mouth Disease outbreak because S1 informed S3 of the outbreak. S3 disclosed administration doesn’t really have good communication with staff. S3 stated some staff were upset due to feeling that this is an incident that all staff should be made aware so staff can check the students in their class too. S3 is unsure if parents were notified of the outbreak. S3 reported no children in S3’s class had the disease. Staff #4 (S4) disclosed being aware of a Hand, Foot, and Mouth Disease outbreak at the facility. S4 stated 2 of the students in S4’s class had the disease. S4 is unsure if parents were notified regarding the outbreak. Staff #5 (S5) stated the first outbreak occurred September 27,2023 and 4 more children were discovered to have the disease. S5 stated staff were notified through the bright wheel app and were given sanitizer to sanitize their classrooms and gloves and masks for staff to wear. S5 stated parents were notified September 28,2023 through the bright wheel app. S5 provided doctor notes to LPA.

The Facility failed to inform the licensing office of the epidemic outbreak at the facility. During the interview with S5, S5 was unaware the facility was required to report the outbreak to licensing. LPA Lucero informed S5 to report the outbreak to the licensing office, as well as to the health department. An incident report was filed with the licensing office on October 12, 2023.

On 12/05/2023, LPA attempted to contact 5 parents, however only 3 parents were available for interview. 3 out of 3 parents stated they were not notified of any recent outbreaks at the facility. No other disclosures were made.
(continue to page 3)

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle Lucero	TELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 06-CC-20231006110635

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: DREAM-I EDUCATION CENTER	FACILITY NUMBER: 304370487
	VISIT DATE: 12/06/2023

NARRATIVE

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(page 3)
Based on pictures received from the reporting party, interviews conducted with 5 staff members, 3 parents and records obtained, it has been determined staff did not prevent hand, foot, and mouth outbreak. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101226.1 (a) Daily Inspection for Illness,101212 (d)(1)(E) Reporting Requirements and 101212 (f) Reporting Requirements are being cited on the attached LIC 9099D.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Director Eunice Kim 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle Lucero	TELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 06-CC-20231006110635

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: DREAM-I EDUCATION CENTER	FACILITY NUMBER: 304370487
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2023 Section Cited CCR 101226.1(a)	1 2 3 4 5 6 7	101226.1 Daily Inspection for Illness (a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director stated they will conduct daily health inspections and remind teachers. Director will send email to LPA with statement by POC due date.
	8 9 10 11 12 13 14	Based on interviews conducted with 5 staff members, 3 parents and records obtained it has been determined staff did not prevent hand, foot, and mouth outbreak. This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
Type B 12/08/2023 Section Cited CCR 101212(d)(1)(E)	1 2 3 4 5 6 7	101212 Reporting Requirements (d) Upon the occurrence...(1) a report shall be made to the Department by telephone or fax within the Department's next working day...within seven days following the occurrence of such event.(E)Epidemic outbreaks....	1 2 3 4 5 6 7	Director stated they will report any future unsual incidents or outbreaks to licensing. Director will send email to LPA with statement by POC due date.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Based on interviews conducted with 5 staff members, it has been determined staff failed to inform the licensing office of the epidemic outbreak at the facility. This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

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	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle Lucero	TELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 06-CC-20231006110635

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: DREAM-I EDUCATION CENTER	FACILITY NUMBER: 304370487
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2023 Section Cited CCR 101212(f)	1 2 3 4 5 6 7	101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director stated they will ensure every parent is notified of any outbreaks. Director will send email to LPA with statement by POC due date.
	8 9 10 11 12 13 14	Based on interviews conducted with 5 staff members and 3 parents, it has been determined staff did not report epidemic outbreak to parents or authorized representatives. This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Giselle Lucero	TELEPHONE: 714-292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5