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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371488
Report Date: 10/27/2025
Date Signed: 10/27/2025 03:29:28 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
10/22/2025 and conducted by Evaluator Alma Castro
COMPLAINT CONTROL NUMBER: 06-CC-20251022155635
FACILITY NAME:GREAT FOUNDATIONS MONTESSORI-WOODBURYFACILITY NUMBER:
304371488
ADMINISTRATOR:KIMBROUGH, KARIFACILITY TYPE:
830
ADDRESS:6304 IRVINE BLVD.TELEPHONE:
(714) 389-2400
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:24CENSUS: DATE:
10/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Assistant Director, Laure ChaalanTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Unqualified staff providing care and supervision.
Director is not on the facility premises during the hours of operation.
INVESTIGATION FINDINGS:
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On 10/27/2025, Licensing Program Analyst (LPA), Alma Castro, conducted an unannounced visit to initiate a complaint that was received at the Orange County Regional Child Care Licensing Office. LPA met with facility representative, Laure Chaalan and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of 17 infants and 5 staff.

During the inspection it was determined the facility is operating within its licensed capacity. 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.

On 10/22/2025, the Orange County Regional Child Care Licensing Office received a complaint that alleges: 1) Unqualified staff providing care and supervision and 2) Director is not on the facility premises during the hours of operation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
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-20251022155635
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: GREAT FOUNDATIONS MONTESSORI-WOODBURY
FACILITY NUMBER: 304371488
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2025
Section Cited
CCR
101416.2(b)
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101416.2 Infant Care Teacher Qualifications and Duties (b) Prior to employment, an infant care teacher shall have completed... three... units related to the care of infants...

This requirement was not met evidenced by:
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The facility representative stated they will only assign properly qualified teachers to supervise children alone.
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Based on LPAs interviews and record review, staff that are in the infant classroom do not have units in infant/toddler courses. This poses a potential risk to the health/safety of the children.
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Type B
11/27/2025
Section Cited
CCR
101215.1(f)(1)
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101215.1Child Care Center Directors Qualifications and Duties (f)When the child care center director is absent ...(1)If the child care center director is absent for more than 30 consecutive calendar days,substitute director shall meet the qualifications of a director.
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Facility Representative states the licensee will submit a director packet or assign a qualified staff member as director
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This requirement is not met as evidenced by: LPA conducted inspections on 09/23/2025, and 10/27/2025 and there was no director. Staff informed LPA that director is out on medical leave.
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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: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20251022155635
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: GREAT FOUNDATIONS MONTESSORI-WOODBURY
FACILITY NUMBER: 304371488
VISIT DATE: 10/27/2025
NARRATIVE
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During the investigation, LPA Castro interviewed nine (9) facility staff, of which six (6) were infant staff. LPA also reviewed six (6) infant staff files. During infant staff interviews, three (3) out of six (6) infant staff disclosed that they had witnessed Staff 1 (Staff 1) being left alone to supervise and care for infant children while they were awake. During record review, it was discovered that 1 out of 6 infant staff did not have the proper Infant/Toddler qualifications to be left unsupervised with infant children.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging 1) Unqualified staff providing care and supervision and 2) Director is not on the facility premises during the hours of operation.Based on information gathered from LPA’s observations, interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is substantiated. Two (2) type B deficiencies will be cited. Refer to LIC9099D for more details.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Laure Chaalan was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report.

SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3