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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370734
Report Date: 02/07/2025
Date Signed: 02/07/2025 05:39:40 PM

Document Has Been Signed on 02/07/2025 05:39 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:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370734
ADMINISTRATOR/
DIRECTOR:		ALICIA FLORESFACILITY TYPE:
850
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 5DATE:
02/07/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Jennifer House, Director TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On 2/7/25, Licensing Program Analysts (LPAs) Patricia Duron and Anna Chan conducted an on-site inspection for the purpose delivering findings. LPA Duron met with Director Jennifer House. There was a total of 5 preschool children present with 2 preschool staff including the Director at the time of visit.

A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Today's Case Management inspection is being conducted in response to a complaint reported to the Orange County Community Care Licensing Regional Office on 12/17/24, and LPA is delivering findings for the complaint received.

LPA Duron interviewed Director, Jennifer House and she stated her start 1/13/25, and has been in the Director position since 2/3/25. As of 2/7/25 Orange County Community Care Licensing Regional Office or LPA Duron or LPA Chan did not receive notification for new director, Jennifer House at the time of visit.

At the time of visit, at approximately 11:30am LPAs had not received a notification for new director, Jennifer House.

LPA Duron did receive a written statement on 1/7/25 at from site coordinator, notifying LPA that as of 1/3/25, Adult #1 (A1) will be assuming the role of center director following the resignation of Lauryn Baril.

LPA Duron and LPA Chan did receive a written statement from site coordinator on 2/7/25 at 12:10pm stating facility is designating Jennifer House as our center director.

Based on LPA's observations, and interviews conducted, the preponderance of evidence standard has been met. Facility did not inform Community Care Licensing Office or Licensing Program Analyst (LPA) of new Page 1 of 2.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
VISIT DATE: 02/07/2025
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Director Jennifer House, whom started on January 13, 2025 which poses a potential risk to health risk to the children in care. California Code of Regulations, Title 22, California Code of Regulations, Title 22 101212(b)(1) Reporting Requirements is being cited. Please refer to attached 809D for documentation of deficiencies.

Exit interview conducted and report was reviewed with the Director. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Director was provided with 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.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/07/2025 05:39 PM - It Cannot Be Edited


Created By: Patricia Duron On 02/07/2025 at 03:12 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: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/17/2025
Section Cited
CCR
101212(b)

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101212(b) Reporting Requirements(b) The name of the child care center director.... shall be reported to the Department within 10 days of a change of child care center director or designee(s)
This requirement is met as evidence by
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LPA received a written statement on 2/7/25 from Site Coordinator designating Jennifer House as the Center Director. Director stated the facility will ensure to adhere to reporting requirments.
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LPA Duron interviewed Director, Jennifer House and she stated her start 1/13/25, and has been in the Director position since 2/3/25. As of 2/7/25 Orange County Community Care Licensing Regional Office or LPA Duron or LPA Chan did not receive notification for new director, Jennifer House at the time of visit.
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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:Martha Malane
LICENSING EVALUATOR NAME:Patricia Duron
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


LIC809 (FAS) - (06/04)
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