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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371164
Report Date: 09/12/2025
Date Signed: 09/12/2025 01:11:09 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
09/10/2025 and conducted by Evaluator Soo Jin Jung
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250910084439
FACILITY NAME:NEW THOUGHT MONTESSORIFACILITY NUMBER:
304371164
ADMINISTRATOR:BARRIOS, BRANDYFACILITY TYPE:
850
ADDRESS:20651 LAKE FOREST DRIVE A101TELEPHONE:
(949) 900-6688
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:60CENSUS: 30DATE:
09/12/2025
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Assistant Director- Mariana CashionTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Staff allow unvaccinated children to attend daycare
INVESTIGATION FINDINGS:
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On 9/12/2025, Licensing Program Analysts (LPAs), S. Jung and K. Trinh conducted an unannounced visit to the facility to conduct an initial inspection and delivered findings for a complaint that was received at the Orange County Regional Child Care Licensing Office. LPAs met with Assistant Director, Mariana Cashion, and explained the reason for the visit. LPAs were led on a tour of the facility and observed a total of 30 preschool children and four (4) preschool staff.

A review of the Facility Personnel 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.

(Go to Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
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 3
Control Number 06-CC-20250910084439
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: NEW THOUGHT MONTESSORI
FACILITY NUMBER: 304371164
VISIT DATE: 09/12/2025
NARRATIVE
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(Page 2)

On 9/10/2025, the Orange County Regional Child Care Licensing Office received a complaint with one allegation listed above: Reporting Party (RP) alleged that staff allow unvaccinated children to attend daycare.

On 9/12/2025, LPAs S. Jung and K. Trinh made an unannounced visit to the facility. LPAs interviewed four (4) staff and the Assistant Director, and also conducted record review.

Staff interviewed stated that they believe children are required to have their immunization upon enrollment, but they were not in charge of verifying those records. Assistant Director stated in their interview that it is their duty to check for immunization when enrolling children and that immunization is a requirement when enrolling at this facility.

Based on LPAs' record review of children's files, it was found that three children (Child 1/C1, Child 2/C2, and Child 3/C3) who were recently enrolled did not have immunization records for review. Assistant Director confirmed that C1, C2, and C3 have already started their enrollment and have attended the facility without proof of immunization; see LIC 9099D for deficiency.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging staff allow unvaccinated children to attend daycare. Based on information gathered from LPAs' interviews and record review, the preponderance of evidence standard has been met, therefore the allegation is substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101220.1(a) Immunizations is being cited.

Report was reviewed with Assistant Director, Mariana Cashion, and a Notice of Site Visit was given which must remain posted for 30 days.

End of report.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250910084439
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: NEW THOUGHT MONTESSORI
FACILITY NUMBER: 304371164
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/19/2025
Section Cited
CCR
101220.1(a)
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101220.1(a) Immunizations
Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement was not met as evidenced by:
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Assistant Director (AD) stated that they will obtain immunization records for C1, C2, and C3. AD stated they will email copies to LPA by due date.
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Based on interview and record review, the licensee did not comply with the section cited above in that, C1, C2, and C3 did not have their immunization records in file, 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: Nguyen K Tran
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3