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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370736
Report Date: 09/07/2023
Date Signed: 09/14/2023 11:14:31 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/14/2023 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230614120608
FACILITY NAME:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370736
ADMINISTRATOR:WOJCIK, MELISSAFACILITY TYPE:
840
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY:30CENSUS: 17DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
07:00 PM
MET WITH:DIrector, Melissa WojcikTIME COMPLETED:
07:30 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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****This is an Amended Report***
On 09/07/2023 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Fun 4 Kids Preschool for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Director, Melissa Wojcik. Director was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 2 Staff and 17 school-age children present.
A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 06/14/2023 a complaint was filed with the Licensing office stating the Facility is operating out of ratio.
Reporting Party (RP) stated, “School Age classroom is always out of ratio, there were 19 kids with 1 teacher in Room 7.
During the course of investigation, LPA interviewed 9 staff members, and 3 parents and 4 children were interviewed. Page 1 of 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
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 3
Control Number 06-CC-20230614120608
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370736
VISIT DATE: 09/07/2023
NARRATIVE
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**This is an Amended Report**During the staff interviews, Staff 1 (S1), Staff 3 (S3), disclosed that they have been over ratio. S3, and S5 disclosed that children are often shuffled into different rooms because they are trying to maintain ratios and subsequently comingle the different age groups. S1 admitted that although the staff schedules are staggered to meet ratio needs but acknowledged that staggering aides is what is needed to meet any staff-child ratio needs. S3 stated they are not usually over ratio but it has happened with 1-2 children over ratio. S3 has had up to 15 children and when that happens, S3 send one to preschool.

3 of 4 children interviewed disclosed there are often preschool children in the school-age classroom. Child #1 stated there are 3- and 4-year-olds in the classroom with the school-age kids all time both inside the classroom and outside. Child #3 (C3) and Child #4 (C4) disclosed that there is at least one preschool child placed with the school-age children. C4 stated Child #5 (C5) is placed in the school-age classroom since 3pm snack time.

3 of 6 parents were interviewed, parents had no issues or concerns with the daycare.



Based on interviews conducted, file review and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101516.5(b)(1) Teacher-Child Ratio is being cited on the attached LIC 9099D. Please refer to attached 9099D for documentation of deficiencies.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

LPA Valdez Santana informed Director, Melissa Wojcik, that this report dated 9/7/23 documents one Type A citation which shall be posted for 30 consecutive days as there are immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Valdez Santana informed the Director to provide a copy of this licensing report dated 9/7/23 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230614120608
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370736
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/08/2023
Section Cited
CCR
101516.5(b)(1)
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Teacher-Child Ratio: A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children.


This requirement is not met as evidence by:
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Director stated she hired 2 new staff to help address the child-teacher ratio. I also have my teachers working over-time when needed. Director will email LPA Plan via email at dianna.valdezsantana@dss.ca.gov by POC due date.
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Based on LPA’s interviews, 2 out of 9 staff members disclosed that school-age classrooms have been over ratio. S3 stated S3 has had up to 15 children. This poses an immediate risk to the safety of the children 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: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
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