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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371464
Report Date: 08/09/2022
Date Signed: 08/09/2022 03:28:30 PM

Substantiated


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
07/11/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220711120714
FACILITY NAME:SMILES MONTESSORI CHILDCAREFACILITY NUMBER:
304371464
ADMINISTRATOR:AHN, SUNG JAFACILITY TYPE:
850
ADDRESS:2261 NORTH ORANGE OLIVE ROADTELEPHONE:
(714) 283-2857
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:40CENSUS: 15DATE:
08/09/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sung Ja AhnTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff do not properly supervise daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 8/9/22. LPA met with director Sung Ja Ahn. LPA conudted a tour of the facility at approximately 945am and census was taken. 15 preschool children and 2 preschool staff were present during the inspection. During the course of the investigation, LPA interviewed five staff, interviewed several parents, took census, and conducted two seperate physical plant inspections/walk throughs. From observation made by LPA during the inspection on 8/9/22, the preponderance of evidence has been met to substantiate the allegation that Staff do not properly supervise daycare child/children. Upon entry into the facility at 945am, LPA observed 14 preschool children playing outdoors. LPA could not locate a preschool staff. After approximately 4 minutes, a staff, staff #5 (See Confidential Names List LIC811)was observed in a nearby kitchen preparing lunch, who stated that they were responsible for supervsing the 14 children playing. A second staff, staff #2, came out of a vacant preschool room to assist LPA with questions and supervising the children playing. Staff #5 and Staff #2 stated that they were occupied with preparing food, and organizing the classroom respectively. (continued on LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
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-20220711120714
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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464
VISIT DATE: 08/09/2022
NARRATIVE
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(page 2)
LPA explained that all children must be supervised at all times, no exceptions for other duties. Staff understood and resumed supervising the 14 children playing. LPA explained the Title 22 Regulations related to Supervision to the Owner/Director Staff #1 who exited an infant classroom to assist LPA. All three staff understood and acknowledged that all children must be supervised at all times per Title 22 Regulation 101229(a)(1). Based on these observations by LPA, the facility has been determined to be in violation of Title 22 Regulations 101229(a)(1), and an A violation is cited on the attached LIC9099D.

From the information gathered by LPA at the time of this inspection, the allegation of Staff do not properly supervise daycare child, has been substantiated. Based on this gathered information, the preponderance of evidence standard has been met, and therefore the above allegation has been found to be substantiated.

Due to the Type A violations cited today, the facility shall post, and provide copies, of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. The facility is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days.

Appeal Rights were explained and the facility was provided a copy of appeal rights (LIC 9058 01/16) 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. A Notice of Site Visit form was given to licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220711120714
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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2022
Section Cited
CCR
101229(a)(1)
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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. The above was not met as evidenced by:

Based on observations by LPA during the
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The director stated that they will draft a plan to address the lack of supervision, with all staff at the facility. Proof of this and the plan will be emailed to LPA by 8/10/22.
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inspection on 8/9/22, it was determined that the staff do not properly supervise children in care. LPA observed 14 preschool children playing outside with out the visual supervision of a staff for approximately 4 minutes. This poses an immediate threat to the children's health, safety, and personal rights.
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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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3