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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371464
Report Date: 02/03/2026
Date Signed: 02/04/2026 10:36:13 AM

Document Has Been Signed on 02/04/2026 10:36 AM - 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:SMILES MONTESSORI CHILDCAREFACILITY NUMBER:
304371464
ADMINISTRATOR/
DIRECTOR:		AHN, SUNG JAFACILITY TYPE:
850
ADDRESS:2261 NORTH ORANGE OLIVE ROADTELEPHONE:
(714) 283-2857
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY: 40TOTAL ENROLLED CHILDREN: 23CENSUS: 10DATE:
02/03/2026
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Facility Representative, Sung Ja "Annie" AhnTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 2/3/2026 at approximately 8:40AM, Licensing Program Analyst (LPA) S. Jung and Licensing Program Manager (LPM) N. Tran conducted an unannounced Case Management - Legal/Non-Compliance for the purpose of ensuring the facility is in compliance with California Title 22 Code of Regulations, Health and Safety Codes, Written Directives, and Stipulation and Waiver; and Order CDSS No. 6624284101C, ordered on 01/13/2026. LPA and LPM met with Facility Representative, Sung Ja Ahn, and informed them of the purpose of the visit.

Facility Personnel Report Summary reviewed on this date indicated all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the visit, LPA and LPM were led on tour by Facility Representative to conduct a facility inspection, file review, and reviewed with Facility Representative, Sung Ja Ahn, the Stipulation and Waiver; and Order CDSS No. 6624284101C, ordered on 01/13/2026. During the inspection and file review, the following deficiencies were observed:

At approximately 8:40AM, LPA observed that 3 out of 10 preschool children present were not signed in upon drop off; see LIC 809D for deficiency. LPA advised Facility Representative and Staff 2 (S2) that they should remind authorized representatives to sign in and out. LPA advised that if the sign in is not completed, staff should notate the time that child was dropped off and initial their name, then remind authorized representative at pick up time to sign for both sign in and sign out.

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NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 02/04/2026 10:36 AM - It Cannot Be Edited


Created By: Soo Jin Jung On 02/03/2026 at 10:59 AM
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: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2026
Section Cited
CCR
101227(a)(1)

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101227(a)(1) Food Services - All food shall be safe and of the quality… to meet the needs of the children… All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by:
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During the visit, Facility Representative threw out the expired milk. Facility Representative stated that they will submit a written plan to LPA via email by due date regarding their plan to check the dates on each food item that is served to the children.
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Based on observation and interview, the licensee did not comply with the section cited above in that, there was one gallon of expired milk in the preschool kitchen fridge, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/06/2026
Section Cited
CCR101238.2(d)(1)(2)

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101238.2(d)(1)(2) Outdoor Activity Space - The surface of the outdoor activity space shall be maintained... Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement was not met as evidenced by:
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During the visit, Facility Representative covered the hole with a doormat as a temporary solution. Facility Representative stated that they will repair the hold and send proof of repair with pictures via email to LPA by due date.
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Based on observation, the licensee did not comply with the section cited above in that, there was a hole in the cushioning material of the playground surface surrounding the climbing the structure, which poses a potential health, safety or personal rights risk to persons 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.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Soo Jin Jung
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/04/2026 10:36 AM - It Cannot Be Edited


Created By: Soo Jin Jung On 02/03/2026 at 11:11 AM
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: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2026
Section Cited
CCR
101229.1(a)(1)

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101229.1(a)(1) Sign In and Sign Out - The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement was not met as evidenced by:
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Facility Representative stated that they would update the sign in and out sheet and remind parents to sign in and out. They also stated that they will submit a written plan of how they will ensure all children are signed in during drop off. Plan will be submitted to LPA via email by due date.
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Based on observation and file review, the Facility Representative did not comply with the section cited above in that, 3 out of 10 children present at the time of LPA and LPM's arrival were not signed in, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/06/2026
Section Cited
HSC1596.841

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1596.841 Current roster of children provided care in facility required - Each child day care facility shall maintain a current roster of children who are provided care in the facility... This requirement was not met as evidenced by:
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Facility Representative stated that they will submit an updated roster to LPA via email by due date. Facility Representative stated that they will also submit a written plan to LPA by due date of how they plan to ensure compliance in regards to maintaining a current roster of children.
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Based on observation and file review, the Facility Representative did not comply with the section cited above in that, Facility Representative did not ensure that the facility roster was up to date, which poses a potential health, safety or personal rights risk to persons 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.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Soo Jin Jung
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2026


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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464
VISIT DATE: 02/03/2026
NARRATIVE
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(Page 2)

At approximately 9:00AM, LPM observed a hole in the cushioning material of outdoor activity space which surrounded the climbing structure; see 809D for deficiency. LPM advised Facility Representative to cover the hole temporarily until the hole could be repaired. Facility Representative placed a doormat over the hole as a temporary solution.

At approximately 9:10AM, LPA observed a gallon of expired milk in the preschool kitchen fridge; see LIC 809D for deficiency. The milk was dated best by 2/1/26. LPA opened the gallon bottle and smelled that the milk had already soured.

At approximately 9:15AM, LPA requested for the facility roster from Facility Representative. As Facility Representative handed the facility roster to LPA, they stated that the roster had not been updated to reflect the current children enrolled; see LIC 809D for deficiency. Civil penalty was issued for repeated citation. Facility was cited for the same deficiency on 8/22/2025.

The Stipulation and Waiver; and Order CDSS No. 6624284101C, ordered on 01/13/2026, was discussed with facility representative, Sung Ja Ahn, as follows:

Section 2 - Revocation of License

Revocation for Sung Ja Ahn to operate Facility No. 304371464/304371465 shall be stayed for a period of 90 days to facilitate the sale or transfer or facility subject to the following limitations and conditions:



(C) Sung Ja Ahn shall give written notice to each client that the facility license has been revoked within sixty days of the execution of the Stipulation. If there is a pending sale or transfer of the facility, Sung Ja Ahn shall give written notice to each client of the pending sale or transfer. If there is no sale or transfer of the facility, Sung Ja Ahn shall assist with the relocation of clients.

(D) Sung Ja Ahn shall forward to the Department a list of all clients who have been served with the notice to relocate.

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NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464
VISIT DATE: 02/03/2026
NARRATIVE
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(Page 3)

(E) Between the date of the Order adopting this Stipulation and the date the license to operate the facilities is revoked as provided herein, Sung Ja Ahn shall operate the facilities in compliance with all applicable statutes and regulations. Violation of any licensing law that threatens the immediate health and safety of clients in care may be remedied at the discretion of the Department by the immediate suspension of Respondent Smiles licenses pursuant to Health and Safety Code section 1550.5 and 1596.886.

(F) Between the date of the Order adopting this Stipulation and the date the license to operate the facility is revoked, Sung Ja Ahn shall not accept any new clients at the facilities.

Section 3 - Exclusion: Stayed with Probation:

Sung Ja Ahn's the exclusion shall be stayed for a probationary period of three (3) years subject to the terms and conditions specified below in paragraph four (4).



Section 4 - Terms of Probation

Sung Ja Ahn is excluded from holding a position as a member of a board of directors, an executive director, or an officer of Facility No. 304371464/304371465 and shall not be certified as an administrator or registered as a TrustLine child care provider or a home care aide.

Sung Ja Ahn shall provide a copy of the Second Amended Accusation and this Stipulation to any current or future employer of a Department-licensed facility, or any current or future county or foster family agency that has approved a resource family home within which Sung Ja Ahn seeks to reside or be regularly present.

Sung Ja Ahn shall provide care and supervision to clients in care the facility only under the supervision of the licensee or another staff member. Sung Ja Ahn shall not monitor, dispense or handle medications for clients of a facility or handle medications for children or non-minor dependents in care.

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NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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: SMILES MONTESSORI CHILDCARE
FACILITY NUMBER: 304371464
VISIT DATE: 02/03/2026
NARRATIVE
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Sung Ja Ahn shall complete within ninety (90) days of the adoption of the Stipulation, complete the following training: (1) Foundational Practices in Early Care and Education (2) Health and Safety for Center-Based Settings (3) California SIDS Program Stories, Public Service Announcements (PSAs) and Training Videos (4) Leadership in Center-Based Settings. Within thirty (30) days after completing this requirement, a copy of the certificates of completion shall be submitted to the Department.

Sung Ja Ahn submitted a copy of the certificates to the Department on 01/23/2026.

Sung Ja Ahn agrees that upon a finding that a condition or any of the other terms of the Stipulation was violated, they shall be excluded from employment in, presence in, and contact with clients of any facility licensed by the Department or certified by a licensed foster family agency, or any resource family home, and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by the department.

Facility representative was reminded to ensure the facility hires a new Director/Administrator as soon as possible.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Facility Representative, Sung Ja Ahn, who stated that they have received a full copy of the Stipulation and agree with the above.

LPA provided Korean interpretation throughout the visit.

End of Report.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC809 (FAS) - (06/04)
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