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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370879
Report Date: 10/20/2021
Date Signed: 10/20/2021 01:49:02 PM



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
10/13/2021 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20211013153503
FACILITY NAME:KIDDIE ACADEMY OF TUSTINFACILITY NUMBER:
304370879
ADMINISTRATOR:ESTRADA, ELAINAFACILITY TYPE:
850
ADDRESS:14501 NEWPORT AVENUETELEPHONE:
(714) 508-0005
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:72CENSUS: 65DATE:
10/20/2021
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Elaina Estrada, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Classroom has an odor.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) P Rivas conducted an unannounced complaint visit to investigate the above allegation. Upon arrival LPA met with Elaina Estrada, Director who assisted LPA with investigation.

The investigation consisted of interview with Director and physical plant tour. At 10:45 am LPA toured Pre-school (Room #3), Pre-K(Room #4), Kinder (Room #5 ), outside play yards( infant, pre school and kinder) and kitchen.
The investigation found Preschool classroom has changing table and diaper trash can. Upon entrance LPA did not note any odor. LPA viewed trash can with lid, in changing area. Interview with Director indicates that the diaper trash can is emptied twice a day, once after lunch and once after facility closes. After lunch diaper trash can is emptied by teachers, after facility closes it is emptied by cleaning service. Director reported 16 of 24 children need diapers changed. Diapers are changed every 2 hours or more often as needed. Furthermore, interview with Director indicates that cleaning services comes in after closing hours and duties include but not limited to; clean and sanitize restroom counters & sinks..., clean & sanitize toilet bowls, seats & urinals, empty trash bins and spot clean as needed, mop & disinfect restrooms, disinfect door handles & switches, pour clean water (or mixed bleach) down into floor drains in restrooms to prevent odors...
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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-20211013153503
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: KIDDIE ACADEMY OF TUSTIN
FACILITY NUMBER: 304370879
VISIT DATE: 10/20/2021
NARRATIVE
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page 2 of allegation(Classroom has an odor.)

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/13/2021 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20211013153503

FACILITY NAME:KIDDIE ACADEMY OF TUSTINFACILITY NUMBER:
304370879
ADMINISTRATOR:ESTRADA, ELAINAFACILITY TYPE:
850
ADDRESS:14501 NEWPORT AVENUETELEPHONE:
(714) 508-0005
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:72CENSUS: 65DATE:
10/20/2021
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Elaina Estrada, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Garbage cans are dirty.
There are insects in the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) P Rivas conducted an unannounced complaint visit to investigate the above allegations. Upon arrival LPA met with Elaina Estrada, Director who assisted LPA with investigation.

The investigation consisted of interview with Director and physical plant tour. At 10:45 am LPA toured Pre-school (Room #3), Pre-K(Room #4), Kinder (Room #5 ), outside play yards( infant, pre school and kinder) and kitchen.
In reference to the allegation that garbage cans are dirty the investigation found; LPA noted three large garbage cans outside on play yards and two large garbage cans inside kitchen. There were various smaller trash cans within each classroom. During tour of facility LPA noted the two large trash cans in the kitchen did not initially have a lid but Asst Director Sylvia Carillo quickly placed lids onto trash cans. LPA observed three trash cans one on each play yard. From 11:50am to 11:52 am LPA Rivas took pictures of outside trash cans. The trash cans on the play yards were dirty and one had a broken lid, all three had some form of decaying waste, such as a banana peel, snack food. LPA was able to corroborate allegation.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20211013153503
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: KIDDIE ACADEMY OF TUSTIN
FACILITY NUMBER: 304370879
VISIT DATE: 10/20/2021
NARRATIVE
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(page 2 of allegations; Garbage cans are dirty.There are insects in the facility)

In Reference to the allegation that there are insects in the facility; the investigation found; At 11:04am LPA toured Preschool (Room #3) and noted on closed off water faucet, there is a red cup taped onto faucet so as to prevent children from drinking from faucet. There were dead insects on tape. At 11:30am LPA noted live insects in kitchen, in the kitchen sink and where the bananas were stored next to sink. The insects appeared to be flying gnats(small winged insects usually flying in groups). LPA photographed gnats in kitchen sink.

Based on LPAs observations the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, and Chapter 1 are being cited on the attached LIC 9099D


An exit Interview was conducted. Report was reviewed and discussed. The director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. The Notice of Site Visit was posted. 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. LPA informed the licensee of how to access regulations and forms from CCLD websites: www.cdss.ca.gov
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20211013153503
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: KIDDIE ACADEMY OF TUSTIN
FACILITY NUMBER: 304370879
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/28/2021
Section Cited
CCR
101238(a)1
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Buildings and Grounds
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.he licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met
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Per discussion with Director, she will have kitchen deep cleaned, will store all fruits propertly, will have pest control add gnats as part of service , will re tape cups covering water faucets in classrooms. Director will send picture of kitchen, will provide copy of next pest service 10/27/21 invoice, will send pictures of water faucets to LPA by POC
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as evidenced by LPA Rivas's observation of preschool classroom at 11:04 am of dead insects on tape covering water faucet and kitchen at 11:30 am observation of gnats on kitchen sink durings todays visit. This poses a potential health & safety risk to children in care.
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Type B
10/27/2021
Section Cited
CCR
101239(f)1
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Fixtures, Furniture, Equipment and Supplies Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents,All containers used for storage of solid wastes, including moveable bins, shall
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Director purchased new trash cans that have tight fitting lids during visit. LPA was provided copy of purchase order.Citation cleared during visit.
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 have tightfitting cover that is kept on; shall be in good repair; & shall be leakproof and rodent-proof. The requirement was not met as evidenced by LPAs observation at11:50 3 trash cans on 3 play yards were dirty and one had a broken lid, all 3 had some form of decaying waste, banana peel, snack food.This poses a potential health & safetyy risk to 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.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5