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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371464
Report Date: 02/09/2024
Date Signed: 02/09/2024 03:00:40 PM

Document Has Been Signed on 02/09/2024 03:00 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
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: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 17DATE:
02/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Director, Sung Ja "Annie" Ahn TIME COMPLETED:
03:15 PM
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In conjunction with another inspection at the facility, Licensing Program Analysts (LPAs) Valdez Santana and Jung conducted a case management inspection.

LPA was met by Director, Sung Ja “Annie Ahn who provided a tour of the facility. LPAs observed 2 Preschool staff caring for 17 preschool children at the time of the inspection.

A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.



Through staff interviews Staff 3 (S3) disclosed that S2 oversees the older preschoolers and Staff #3 (S3) who has qualification as an aide oversees the young preschoolers (2yrs-2.11 yr olds). When S2 and S3 are in a room together, they split into 2 groups. S3 takes the younger children and S2 takes the older ones children. When asked if S3 is ever alone with the children, S2 stated S2 tries to oversee both groups from the door, but yes sometimes S3 was left alone supervising children alone. S3 stated S3 currently has two children under 2 years old with the young preschool. S2 disclosed, S2 does not know if the school has special permission or not but they combine the (preschool) children with the infants at the end of the day into the infant classroom.

Based on the gathered information, the facility is in violation and being cited for one Type A Limitations on Capacity CCR Section 101161(a) and Type A 101216.1(b)(1) Teacher Qualifications and Duties. Please refer to attached LIC809D for documentation of deficiency.

LPA Valdez Santana informed Director, Sung Ja “Annie Ahn, that this report dated 02/09/24 documents one Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.


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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 02/09/2024
NARRATIVE
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Also, LPA Valdez Santana informed the Director to provide a copy of this licensing report dated 02/09/24 that documents any Type A citations 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.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/09/2024 03:00 PM - It Cannot Be Edited


Created By: Dianna ValdezSantana On 02/09/2024 at 02:33 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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2024
Section Cited
CCR
101216.1(b)(1)

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101216.1(b)(1) Teacher Qualifications and Duties: A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement .
This requirement is not met as evidence by:
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Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. In addition Director has stated that she has hired teachers that are qualified.
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Based on staff’s interview and record review, S3 only has 3 ECE units and was left alone supervising children. This poses an immediate health and safety risk to the children in care.
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Type A
02/12/2024
Section Cited
CCR101161(a)

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Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidence by: Based on staff’s interview, S3 stated S3 currently has two children under 2 yrs. old with
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Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. Director wil adjust one of the teacher's schedules to start at an earlier time to accommodate the school's morning ratio.
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 the young preschoolers. S2 and S3 stated, they combine the (preschool) children with the infants at the end of the day into the infant classroom. This poses an immediate health and safety risk to the children 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.
SUPERVISOR'S NAME:Thuy Ho
LICENSING EVALUATOR NAME:Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2024


LIC809 (FAS) - (06/04)
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