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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371570
Report Date: 05/13/2024
Date Signed: 05/13/2024 06:27:27 PM

Document Has Been Signed on 05/13/2024 06:27 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MIRACULOUS MILESTONESFACILITY NUMBER:
304371570
ADMINISTRATOR/
DIRECTOR:		LUU, JAMIEFACILITY TYPE:
850
ADDRESS:1000 BISON AVENUETELEPHONE:
(562) 381-4803
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 66DATE:
05/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Director, Jaime LuuTIME VISIT/
INSPECTION COMPLETED:
06:15 PM
NARRATIVE
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On 5/13/2024 Licensing Program Analyst (LPA) Sarah Garcia conducted an unannounced case management- incident visit in response to a self-reported unusual incident reported on 5/9/2024. Upon arrival, LPA met with Director, Jaime Luu. LPA informed director about the purpose of the visit and conducted a walk through of the facility. LPA observed 66 preschool children with 8 staff. LPA observed director and assistant director stepping in to assist staff with ratios. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 5/9/24 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that Child 1 (C1) had left and ran away. D1 Immediately contacted campus security. Staff scanned bathroom, hallways, and classrooms nearby. D3 found C1 in the T-k room hiding behind the furniture.

During today’s visit, LPA obtained sign in/out sheets from 5/9/24, interviewed 3 staff, assistant director, and director. Based on interviews and evidence provided, inspection physical plant of the site. Per interview with preschool director, on 5/9/24 at approximately 11:25am, the director provided a blanket to D4 and during that time, C1 was left unsupervised for about 10 minutes. C1 was found at approximately 11:33am. The preponderance of evidence to prove their was a lack of supervision has been met. A type A citation will be issued.

Exit interview was conducted with Director Jaime Luu. Appeal rights were discussed and provided to director.

LPA Garcia informed director, Jaime Luu that this report dated 5/13/2024 document(s) (2) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, and personal rights to the children in care.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 05/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 05/13/2024 05:51 PM - It Cannot Be Edited


Created By: Sarah Garcia On 05/13/2024 at 02:13 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: MIRACULOUS MILESTONES
FACILITY NUMBER: 304371570

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
"(a) The licensee shall provide care and supervision....
(1) No child(ren) shall be left without the supervision of a teacher at any time..."This requirement was not met as evidenced by:
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Director agreed to conduct a staff meeting, discuss supervision, and view video, write down what they learned. Director agreed to submit replies, training agenda, and staff sign in sheet to LPA email sarah.garcia@dss.ca.gov by 5pm on 5/17/2024.
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Based on interviews and record review, D3 found Child 1 (C1) unattended in the T-K classroom. C1 did not have care and supervision in that period of time. This is an immediate risk to the health, safety, and personal rights risk to chidlren in care.
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a.) Supervising Children in Child Care Centers- California Child Care Licensing- ccld.childcarevideos.org.
Type A
05/17/2024
Section Cited
CCR101216.3(b)(A)(1)

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101216.3 Teacher-Child Ratio
"(b)The licensee may use teacher aides in a teacher-child ratio...(1) A ratio of one fully qualified teacher...and one aide for every 18 children in attendance in a preschool program is allowed..." This requirement was not met as evidenced by:
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Director agreed to conduct a staff meeting, discuss ratios, and view video, write down what they learned. Director agreed to submit replies, training agenda, and staff sign in sheet to LPA email by 5pm on 5/17/2024.
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Based on interviews and record review (sign in/out sheets), on 5/9/24 at 11:17am, at the time of the incident D6 and D7 had 19 preschool children. This is out of ratio and an immediate risk to the health, safety, and personal rights risk to the children in care.
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a.) Teacher-to-child Ratios in Child Care Centers- California Child Care Licensing- ccld.childcarevideos.org.
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:Patricia Magana
LICENSING EVALUATOR NAME:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 05/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/13/2024


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: MIRACULOUS MILESTONES
FACILITY NUMBER: 304371570
VISIT DATE: 05/13/2024
NARRATIVE
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Also, LPA Garcia informed director to provide a copy of this licensing report dated 5/13/2024 that documents any Type A citation(s) 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 form the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) or other written statement must be kept in the child's file for verification.

The Notice of Site Visit was posted. Director 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.

Page 2 of 2 // End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2024
LIC809 (FAS) - (06/04)
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