304371408-10-22-2024-06-CC-ACAO-DAB2PF-20241022173415

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371408
Report Date: 10/22/2024
Date Signed: 10/22/2024 05:35:51 PM

Document Has Been Signed on 10/22/2024 05:35 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	GUIDE ACADEMY		FACILITY NUMBER:	304371408
ADMINISTRATOR:	SHAHRESTANI, LAILA		FACILITY TYPE:	840
ADDRESS:	121 SOUTH CITRON STREET		TELEPHONE:	(951) 206-5262
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92805
CAPACITY:	40	CENSUS: 16	DATE:	10/22/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Associate Director, Christine Komaki		TIME COMPLETED:	05:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs), Castro and Valdez Santana conducted an onsite inspection at 8:45am for the purpose of a Random Required 3 Year inspection. Upon arrival LPAs met with Associate Director, Christine Komaki. Associate Director provided LPAs a tour of the facility, inside and outside. During the tour of the facility, LPAs observed Associate Director retrieve three school age children from the preschool playground and bring them back to the school age waiting area at 8:57am. The floor and yard plan (LIC 999) were verified. Facility hours are 7am to 7pm Monday through Friday, and 9:00am to 3:00pm for the private elementary school program. Director, Laila arrived at the facility at 9:45am and met with LPAs. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. 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 the inspection of the indoor activity space, LPAs did not observe any items which could pose a danger to children (poisons, detergents, cleaning compounds, medications, or hazardous items). There is filtered water dispenser in the main hallway where children can refill their own water bottles available indoors for children in care. The children's bathrooms are clean and sanitary. The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was a well-maintained grass area, but there was greenhouse building material, including a base with pointy plastic corners. Director stated that they are in the process of putting together the greenhouse but have not finished. Drinking water in the outdoor activity space was provided by refilling the children’s own water bottler or drinking fountain. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. Page 1 of 3

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/22/2024 05:35 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GUIDE ACADEMY	FACILITY NUMBER: 304371408
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101217(a)

Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in 4 out of 5 personnel records which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4	Director will email LPA by POC due date with pictures reflecting corrections.

Type B

Section Cited

CCR

101221(b)

Child's Records

(b) Each record shall contain information including, but not limited to, the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in 2 out of 5 children's records were incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4	Director will email LPA by POC due date with pictures reflecting corrections.

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: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUIDE ACADEMY	FACILITY NUMBER: 304371408
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(a)

Buildings and Grounds

(a) 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. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in greenhouse construction materials including greenhouse foundational base that included exposed pointed edges, were stored in school-age playyard. These accessible objects pose a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4

Type B

Section Cited

CCR

101216(g)(1)

Personnel Requirements

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 5 personnel staff which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4

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: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/22/2024 05:35 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GUIDE ACADEMY	FACILITY NUMBER: 304371408
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101161(a)

Limitations and Capactity: a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
	Deficient Practice Statement
1 2 3 4	This requirement was not met as evidenced by: Based on LPAs' observation and interview, 1 School Age Staff retrieved 3 school aged children from preschool playground and returned them to the school-age waiting area. Director also stated that the 1st and 2nd graders play in the preschool yard for 1-2 hours in the morning.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4	Director states that she will stop allowing 1st and 2nd graders to play in the preschool playground. She will consider submitting a waiver to share the playground.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

Page: 4 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GUIDE ACADEMY	FACILITY NUMBER: 304371408
	VISIT DATE: 10/22/2024

NARRATIVE

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Staff files were reviewed for staff present during the facility inspection on this date; 4 out of 5 staff files reviewed were not in compliance. Health screening and immunizations as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, and measles for 5 staff were reviewed. 2 out of 5 did not have the complete immunization records on file. 1 out 5 staff did not have proof of TB testing in their file. 4 out of 5 staff files were reviewed and were found to be incomplete and noncompliant. 3 out of 5 staff did not have the required AB1207 Mandated Reporter Training. 2 out of 5 staff did not have LIC 503 – Health Screening record on file.

Children's records were reviewed. A random sample of children of 5 children’s files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (LIC 700) and a medical assessment. 2 out of 5 children’s files were found to be incomplete and noncompliant.

Food is prepared on site by staff, lunch and snacks are provided and some children bring lunch from home. Menus were posted where they could be reviewed by parents. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. The facility has conducted an emergency drill within the past six months, last drill conducted was on 05/03/24. The facility has a working carbon monoxide detector, fire extinguishers and fire alarm were found to be in compliance. Facility met all posting requirements. The California Child Passenger Safety Law was posted by the entrance of the facility.

Incidental Medical Services (IMS) policy was discussed. Per the Director, the facility does not administer medication. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

Page: 5 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GUIDE ACADEMY	FACILITY NUMBER: 304371408
	VISIT DATE: 10/22/2024

NARRATIVE

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Director was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.ccld.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The director was informed, and website given, about the California Child Care Disaster Planhas been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

In the areas that were evaluated, five Type B deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. Please see D-page for deficiencies observed.

Exit interview was conducted and report was reviewed with Director, Laila Shahrestani. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights and deficiencies 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.

Page 3 of 3 End of Report.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Alma Castro	TELEPHONE: (310) 740-3040
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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