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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371585
Report Date: 06/05/2024
Date Signed: 06/05/2024 04:55:51 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
05/28/2024 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240528105934
FACILITY NAME:KIDDIE ACADEMY OF BUENA PARKFACILITY NUMBER:
304371585
ADMINISTRATOR:BARBA, KARLAFACILITY TYPE:
850
ADDRESS:7501 COMMONWEALTH AVENUETELEPHONE:
(714) 752-6294
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:114CENSUS: 57DATE:
06/05/2024
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Karla Barba, DirectorTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff does not provide adequate supervision to day care children.
INVESTIGATION FINDINGS:
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On 06/05/2024, Licensing Program Analyst (LPA) Tran conducted a subsequent inspection to deliver finding for the above complaint allegation. LPA Tran met with Director Karla Barba. A tour of the facility was conducted, and census was taken. Observed at the time of the visit was a total of 12 preschool children and 1 staff the Fives classroom, 18 preschool children with 2 staff members in the Threes classroom, 13 children with 2 staff members in the Older Twos classroom, and 14 preschool children and 3 staff in the Younger Twos classroom.
A review of the Facility Personnel Report Summary on 06/05/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 05/28/2024, the Regional Office received a complaint with allegation Staff does not provide adequate supervision to day care children. Reporting party addressed concern regarding Staff #1 (S1), who was being on their business and/or personal phone, while providing supervision for the children in the classrooms or on the playground. (Continued next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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-20240528105934
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: KIDDIE ACADEMY OF BUENA PARK
FACILITY NUMBER: 304371585
VISIT DATE: 06/05/2024
NARRATIVE
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(Page 2 of Report)

During the investigation, LPA conducted interviews with 10 staff members, 7 out of 10 interviewed staff confirmed S1 was on their phone ranging from 50% to 100% of the time while S1 is providing care and supervision for the children in the classrooms/play ground so that the facility can be compliant with ratio.

Based on information gathered from LPA interviews, the preponderance of evidence standard has been met, therefore the allegation Staff does not provide adequate supervision to day care children, are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101229 (a)(1) Responsibility for Providing Care and Supervision cited on the attached LIC9099D.

Due to the Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00

Appeal Rights and deficiency were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Karla Barba.

(End of Report)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240528105934
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: KIDDIE ACADEMY OF BUENA PARK
FACILITY NUMBER: 304371585
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/12/2024
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)....Supervision shall include visual observation.
This requirement is not met evidenced by:
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Director states she will submit a detailed plan to ensure staff are not using the phone while providing care and supervision for the children in care, to LPA by due date.
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Based on LPA interviews, 7 out of 10 interviewed staff confirmed that S1 was being on their phone 50-100% of the time while S1 was providing care and supervision for the children in the classroom/playground, which posed an immediate risk to the health, safety and personal rights 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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3