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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370846
Report Date: 12/19/2025
Date Signed: 12/23/2025 12:09:28 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
10/14/2025 and conducted by Evaluator Kathy Trinh
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20251014124102
FACILITY NAME:NOBIS PRESCHOOLFACILITY NUMBER:
304370846
ADMINISTRATOR:REYES, GAILFACILITY TYPE:
850
ADDRESS:26153 VICTORIA BLVD.TELEPHONE:
(949) 661-6258
CITY:CAPISTRANO BEACHSTATE: CAZIP CODE:
92624
CAPACITY:45CENSUS: 7DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Facility Representative, Ashley HarrisTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Child was left unattended
Staff did not follow proper reporting requirement
INVESTIGATION FINDINGS:
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On 12/19/2025, Licensing Program Analyst (LPA), K. Trinh conducted an unannounced complaint inspection for the purpose of delivering findings. Upon arrival, LPA met with Facility Representative, Ashley Harris, and was led on a tour of the facility. LPA observed a total of 7 preschool children along with 2 staff. This is a continuation of a complaint inspection initiated on 10/20/2025. A review of the Facility 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 10/14/2025, the Orange County Regional Child Care Licensing Office received a complaint with two allegations: (1) Child was left unattended, and (2) Staff did not follow proper reporting requirements. Reporting Party (RP) reported that on 10/8/2025, Child #1 (C1) was left alone in the playground as Staff 1 (S1) was inside the classroom with another child.
(Continue to page 2)
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Kathy Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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-20251014124102
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: NOBIS PRESCHOOL
FACILITY NUMBER: 304370846
VISIT DATE: 12/19/2025
NARRATIVE
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(Page 2)

During the investigation on 10/20/2025, LPA toured the facility, obtained and reviewed the classroom sign in/out sheet. LPA also conducted interviews with the reporting party, five staff members, and four parents. LPA attempted to interview children, but was unable to due to their verbal development.

Regarding allegation (1) Child was left unattended.
During the staff interviews, S1 stated S1 recalled on one occasion, as children were being transitioned from the playground into the classroom, S1 realized C1 was not in the classroom. When S1 was looking for C1, S1 was told by a parent that C1’s was already picked up by C1’s representative. Three (3) out of five (5) interviewed staff stated they were aware of this incident. When interviewed, C1’s representative stated they came to pick up C1 and found C1 was left alone in the playground. They asked S1 and S1 responded that it was a good thing that the playground gate was closed.

On 11/24/2025, LPA conducted parent interviews. The interviewed parents did not divulge any information pertaining to the allegation or express any concerns regarding care of the children.  

Regarding allegation (2) Staff did not follow proper reporting requirements.
During interviews, Director and Acting Director confirmed that they were made aware of the incident when C1 was left alone in the playground, however they did not report the incident to the Department or any other involved agencies.

On 11/24/2025, LPA conducted parent interviews. The interviewed parents did not divulge any information pertaining to the allegation or express any concerns regarding care of the children.  

During record review, there was no incident report that were submitted to the Department regarding this incident on 10/8/2025.

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SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Kathy Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 06-CC-20251014124102
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: NOBIS PRESCHOOL
FACILITY NUMBER: 304370846
VISIT DATE: 12/19/2025
NARRATIVE
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(Page 3)

Based on LPA’s interviews and record review, the preponderance of evidence has been met; therefore, the allegation of: (1) Child was left unattended (2) Staff did not follow proper reporting requirements, was found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 101229(a)(1) and 101212(d) is being cited. See LIC9099D for deficiencies cited.

This report cites a Type A violation and shall be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Facility representative 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.

Appeal Rights were explained. The Director was provided with a copy of the appeal rights (LIC 9058) 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.

End of report.
SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Kathy Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20251014124102
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: NOBIS PRESCHOOL
FACILITY NUMBER: 304370846
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
01/16/2026
Section Cited
CCR
101229
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101229(a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Following the incident, the Director and Acting Director (AD) have made staffing changes to ensure that each classroom has an aide. AD will hold a staff training on Supervision and will provide LPA the agenda and sign in sheet by due date.
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Based on interviews, S1 stated they realised C1 was not in the classroom after transitioning the children from the playground into the classroom; and C1's representative stated they found C1 was left alone in the playground, which poses an immediate 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: Tina Nguyen
LICENSING EVALUATOR NAME: Kathy Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20251014124102
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: NOBIS PRESCHOOL
FACILITY NUMBER: 304370846
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2026
Section Cited
CCR
1011212
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101212(d)(1) below, a report shall be made to the Department... within the Department's next working day... in addition, a written report containing the information specified...(d)(2) below shall be submitted to the Department within seven days...
This requirement was not met as evidenced by:
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Acting Director stated they will review and submit a statement of understanding of the Reporting Requirements regulation and will ensure to report all applicable incident to Department as required, to LPA by due date.
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Based on interview and record review, the facility did not comply with the section cited above. The Director and Acting Director did not report the incident to Department after being informed of the incident which 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: Tina Nguyen
LICENSING EVALUATOR NAME: Kathy Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5