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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371570
Report Date: 07/10/2024
Date Signed: 07/10/2024 11:56:59 AM

Document Has Been Signed on 07/10/2024 11:56 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: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: 38DATE:
07/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Jaime Luu, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On 7/10/2024 at 11:10am, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management visit- deficiencies to address the information provided by staff regarding the facility operating beyond the terms of their license. LPA met with director, Jaime Luu. A walk through of the facility was conducted, and a census was taken. Total census was 38 children and 8 staff. LPA was notified that on 6/11/24, Staff witnessed a child in the preschool room that was under the age of 2. LPA reviewed child's file and sign in and sign out sheets. LPA discussed with assistant director and director regarding capacity limitations.

Based on staff interviews, it has been determined that facility is operating beyond the terms of the license.

LPA Sarah Garcia informed Director Jaime Luu, that this report dated 7/10/2024 documents (1) Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Sarah Garcia informed Director Jaime Luu, to provide a copy of this licensing report dated 7/10/2024 that documents any Type A citation 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. Staff was advised the Notice of Site Visit must be posted for 30 days or $100 Civil Penalty will be assessed. Appeal rights provided.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
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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Document Has Been Signed on 07/10/2024 11:56 AM - It Cannot Be Edited


Created By: Sarah Garcia On 07/10/2024 at 11:19 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: MIRACULOUS MILESTONES
FACILITY NUMBER: 304371570

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/10/2024
Section Cited
CCR
101161(a)

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Section 101161(a)
A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement was not met as evidenced by:
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LPA held a discussion with director and assistant director regarding incident with child under 2 in the preschool classroom. Director and assistant director understand the Title 22 regulations.
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 LPA was notified that on 6/11/24, Staff witnessed a child in the preschool room that was under the age of 2
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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:Patricia Magana
LICENSING EVALUATOR NAME:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2024


LIC809 (FAS) - (06/04)
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