304370736-5-8-2024-06-CC-MMAE-D5R334-20240529175256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370736
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:35:58 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
05/08/2024 and conducted by Evaluator Anna Francesca Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20240508145207

FACILITY NAME:	FUN 4 KIDS PRESCHOOL		FACILITY NUMBER:	304370736
ADMINISTRATOR:	SILVA, DAWN		FACILITY TYPE:	840
ADDRESS:	23721 LA PALMA AVENUE		TELEPHONE:	(714) 694-0901
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92887
CAPACITY:	30	CENSUS: 22	DATE:	05/08/2024
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Director Alicia Flores		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff member left day care child(ren) unsupervised

INVESTIGATION FINDINGS:

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On 5/8/2024, at 2:20pm Licensing Program Analyst (LPA), Anna Chan conducted an unannounced inspection for the purpose of initial complaint investigation. Upon arrival, LPA met with Director, Alicia Flores and informed the director of the purpose of the visit. LPA was led on a walk-through of the facility by the director and a census was taken. LPA observed 2 staff and 22 school-age children.

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 05/08/24 alleging the facility staff member left day care child(ren) unsupervised.

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Martha Malane	TELEPHONE: (310) 740-3022
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240508145207

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: 304370736
	VISIT DATE: 05/08/2024

NARRATIVE

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RP stated the children were left alone in the car.

On 5/8/24, LPA interviewed three (3) staff, staff 1 (S1) stated that 2 children were left unsupervised inside a parked van. S1 stated that S1 did not check the van after unloading the children and going inside the facility, leaving 2 children sleeping at the back of the vehicle.

On 5/8/24 LPA interviewed four (4) children, all 4 children stated they were never left alone in the vehicle.

Based on interviews conducted, it has been determined that the facility left 2 children unsupervised inside the vehicle. 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, 101229(a)(1) Responsibility for Providing Care and Supervision. See deficiency cited on LIC9099D. Civil penalty assessed.
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LPA Chan informed Director Alicia Flores, that this report dated 05/08/24 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director to provide a copy of this licensing report dated 05/08/24 that documents any Type A citation 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.

Exit interview was conducted with Director Alicia Flores. Notice of Site Visit was posted during the visit. Director 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.

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SUPERVISOR'S NAME: Martha Malane	TELEPHONE: (310) 740-3022
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240508145207

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: 304370736
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/08/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/09/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision...(1)No child(ren) shall be left without the supervision of a teacher at any time,(1). Supervision shall include visual observation.This requirement was not met as evidenced by	1 2 3 4 5 6 7	Director stated she will provide LPA a copy of the supervision training to staff conducted on 5/7/24 by due date. A Copy of employee write-up will also be provided to the LPA by due date of 5/9/24
	8 9 10 11 12 13 14	Based on and interview conducted, it has been determined that the facility left 2 children unattended and with absence of supervision inside the vehicle. This poses an immediate risk to health and safety of 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: Martha Malane	TELEPHONE: (310) 740-3022
LICENSING EVALUATOR NAME: Anna Francesca Chan	TELEPHONE: (818) 216-9775
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC9099 (FAS) - (06/04)

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