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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370734
Report Date: 04/04/2024
Date Signed: 04/04/2024 05:18:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
01/24/2024 and conducted by Evaluator Anna Francesca Chan
COMPLAINT CONTROL NUMBER: 06-CC-20240124153657
FACILITY NAME:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370734
ADMINISTRATOR:SILVA, DAWNFACILITY TYPE:
850
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY:76CENSUS: 17DATE:
04/04/2024
UNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Assistant Director Jessica MillerTIME COMPLETED:
05:40 PM
ALLEGATION(S):
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Staff yelled at day care child
INVESTIGATION FINDINGS:
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On 4/4/2024, at 4:25pm Licensing Program Analyst (LPA), Anna Chan conducted an unannounced Complaint investigation inspection. The purpose of the investigation is to deliver findings of a complaint initiated on 1/26/2024. Upon arrival, LPA met with Assistant Director, Jessica Miller and informed the director of the purpose of the visit. LPA was led on a walk through of the facility by the asst director and a census was taken. LPA observed 4 staff and 17 preschool children. Site Supervisor Alicia Flores arrived at 4:55pm

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.

The Department received a complaint on 01/24/24 alleging staff yell at day care children.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
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 3
Control Number 06-CC-20240124153657
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 04/04/2024
NARRATIVE
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On 1/26/2024, LPA interviewed reporting party (RP). RP stated that staff # 1 (S1) yells at day care children.

On 1/26/2024, LPA interviewed eight (8) staff, five (5) staff stated they have witnessed S1 yell at children.

On 3/1/2024, LPA called parents 10 parents and reached two (2) parents. None of the parents disclosed any information that could corroborate the allegation.

During today’s inspection, LPA Chan interviewed 3 children. 2 of 3 children stated that S1 yells at them.



Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the allegation is valid and the preponderance of the evidence standard has been met. See LIC9099D for Type B deficiency cited.

Exit interview was conducted with Site Supervisor Alicia Flores and Assistant Director Jessica Miller Notice of Site Visit was posted during the visit. Facility staff 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. The Director was provided with 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.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240124153657
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: 3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation...
This requirement has not been met as evidenced by

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Site Supervisor Alicia Flores stated that personal rights training for staff was conducted. A signed document about that training will be provided to LPA by due date on 4/30/24
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Based on interviews, staff #1 yells at children

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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
LIC9099 (FAS) - (06/04)
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