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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371252
Report Date: 04/11/2024
Date Signed: 04/11/2024 03:47:52 PM

Document Has Been Signed on 04/11/2024 03:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:APPLE TREE PRESCHOOL & KINDERGARTENFACILITY NUMBER:
304371252
ADMINISTRATOR/
DIRECTOR:		SILVA, ISHARAFACILITY TYPE:
850
ADDRESS:2211 WEST WOODLEY AVENUETELEPHONE:
(714) 772-1005
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 42DATE:
04/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:08 PM
MET WITH:Ishara SilvaTIME VISIT/
INSPECTION COMPLETED:
03:47 PM
NARRATIVE
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On 4/11/2024, Licensing Program Analysts (LPA) A. Silva conducted a Case Management – Deficiencies due to deficiencies observed during a visit. Upon arrival, the LPAs meet with Ishara Silva. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Census 42 preschool children the time of visit. The facility was operating within ratios and capacity.

On 1/24/24 during staff interviews, Staff 3 (S3) explained that they have held children to prevent them from hurting someone or themselves. S3 said, “I was going to mention it that some of the kids get aggressive. There have been times when I held the student. I know I can’t hold them forcefully, but it’s for the safety of other kids.” S3 added that sometimes children with challenging behavior throw things and holding them is one of the most effective ways of preventing them from hurting other children. S3 added, “you came in for a complaint. Maybe I held a student, and someone said you’re not supposed to do that”. S3 admitted to holding children against their will by the hip but denied it was done forcefully and denied any wrongdoing. Staff stated there was no intent to harm the children but to prevent them from harming others or themselves.

Per CCR 101223(a), The licensee shall ensure that each child is provided dignity in his/her personal relationships with staff and other persons. And (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, etc.

Based on interviews conducted, the facility is being cited in accordance with the California Code of Regulations, Title 22, Division 12, for the following section: 101223(a) Personal Rights.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: APPLE TREE PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 304371252
VISIT DATE: 04/11/2024
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LPA A. Silva informed licensee Director Ishara Silva that this licensing report dated 4/11/2024 documents one “Type A” citation(s). Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA A. Silva further informed Director Silva that a copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care, a copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report, and signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the infant's file for verification of receipt of the report.

Appeal Rights were discussed. The facility representative was provided a copy of their 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. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with director.

End.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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Document Has Been Signed on 04/11/2024 03:47 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 04/11/2024 at 03:31 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: APPLE TREE PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 304371252

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/11/2024
Section Cited
CCR
101223(a)(1)(3)

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101223(a)(1)(3) Personal Rights: The licensee shall ensure that each child is accorded dignity and to be free from infliction of pain, humiliation, intimidation, ridicule, coercion, threat...
The licensee did not met the regulation:
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The director will hold a training with staff about communication with children and ways to help children manage challenging behaviors. The director will provide materials and a sign in sheet showing staff participation. Materials will be sent by due date.
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Based on interviews conducted, the licensee did not meet the regulation above, which poses an immediate risk to the health, safety, and personal rights of children. S3 disclosed children are restrained when they exhibit challenging behavior.
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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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024


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