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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371436
Report Date: 03/27/2024
Date Signed: 08/26/2024 03:50:23 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
02/15/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240215083937
FACILITY NAME:PEACOCKS EARLY LEARNING CENTREFACILITY NUMBER:
304371436
ADMINISTRATOR:ROE,CHELSEAFACILITY TYPE:
850
ADDRESS:19901 YORBA LINDA BLVD.TELEPHONE:
(714) 970-2311
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:120CENSUS: 56DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Director Khannia OkTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility is out of ratio.
INVESTIGATION FINDINGS:
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*** This is an amended version of a report dated 3/27/24.

On 3/27/2024, at 8:40am Licensing Program Analyst (LPA), Anna Chan conducted an unannounced Complaint investigation inspection. The purpose of the investigation is to deliver findings from a complaint initiated on 2/21/2024. Upon arrival, LPA met with staff Cintia Veronese. LPA explained the reason for today's visit upon arrival. Census was taken in individual classrooms. LPA observed 56 preschool children and 5 staff (Rm#1 10 children and 1 staff, Rm#2 10 children and 1 staff, Rm#3 12 children and 1 staff, Rm#4 13 children and 1 staff, Rm#5 12 children and 1 staff).

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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 7
Control Number 06-CC-20240215083937
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
VISIT DATE: 03/27/2024
NARRATIVE
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*** This is an amended version of a report dated 3/27/24.

The Department received a complaint on 02/15/24 alleging the facility is out of ratio.

On 3/25/24 a co-complaint was received alleging the facility was out of ratio.

On 3/27/24 at 8:45am, while doing the tour of the facility, LPA observed room # 4 with 13 children and 1 staff only.

On 3/11/2024, LPA called parents 9 parents. LPA reached 3 parents. None of the parents interviewed disclosed information that could support the allegations.

Based on observation, inspection, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. See LIC9099D 1 Type A Deficiency cited and civil penalty assessed.

LPA Chan informed Director Khannia Ok, that this report dated 03/27/2024 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director to provide a copy of this licensing report dated 03/27/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.



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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20240215083937
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/28/2024
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This requirement is not met as evidenced by:
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Director stated the facility will have a staff meeting to discuss about ratio and scheduling. A signed document about the training will be provided to LPA via email by due date of 3/28/24
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Based on LPA observation, Room#4 had 13 children and only 1 staff. This is a repeat violation from a violation previously cited on 2/21/24.
This poses as an immediate risk to health and safety of children in care
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CCR
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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: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20240215083937
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
VISIT DATE: 03/27/2024
NARRATIVE
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An exit interview was conducted, and the report was reviewed with Director Khannia Ok. Notice of Site Visit was posted during the visit. The director was informed that the notice of the site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.

Appeal Rights were explained. The Licensee was provided a copy of 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 Reports).

Director and owner refused to sign the report and deficiency page

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7