<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371627
Report Date: 11/13/2025
Date Signed: 11/13/2025 02:32:49 PM

Document Has Been Signed on 11/13/2025 02:32 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:BRIGHT LEARNERS ACADEMY-HANSEN ELEMENTARY SCHOOLFACILITY NUMBER:
304371627
ADMINISTRATOR/
DIRECTOR:
SPICER, DARCYFACILITY TYPE:
850
ADDRESS:1300 SOUTH KNOTT AVENUETELEPHONE:
(714) 236-3800
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 34DATE:
11/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Coordinator of Early Learning Programs, Darcy SpicerTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/13/2025, Licensing Program Analyst (LPA) D. Valdez Santana conducted an on-site inspection for the purpose of a Case Management Incident Inspection. LPA met with Coordinator of Early Learning Programs Darcy Spicer. LPA toured the facility inside and outside, census was taken in individual classrooms, Room 4 had 20 children and 5 staff and Room 7 had 14 children and 4 staff. The overall census observed was 34 children and 9 staff. Today's Case Management inspection is being conducted in response to a self-reported incident, reported to the Regional Office on 11/07/25, detailing a child #1 (C1), had been left in classroom #4 by staff and found minutes later by Staff #1 (S1) and staff #2 (S2).

During the inspection, LPA interviewed 5 staff. LPA also inspected the classroom C1 was left in. LPA reviewed the Incident Report with facility representative as well as the response of the facility. On 11/6/2025, Staff #1 (S1) disclosed clocking in at the facility at 8:40am and walking toward classroom #4 and #7 and noticed Child #1 (C1) peeking the head out of the classroom, then step outside and then re-enter the classroom and then peek the head out again. S1 stated Staff #2 (S2) had also clocked in at the same time and S1 told S2 about seeing C1. S1 thought maybe C1’s class was lined up inside and C1 was being sneaky and poking the head outside or was with a staff. S2 confirmed seeing C1’s class already walking toward the playground. S1 disclosed immediately, S1 and S2 went to the classroom. Upon entering the classroom C1 was sitting on the couch crying and said “teacher left me”. Staff #2 (S2) disclosed clocking in at 8:30am along with S1. S2 disclosed seeing Room #4 staff walking with children toward the playground. S2 and S1 saw C1 standing outside the classroom and then re-enter. S2 stated upon entering the classroom C1 was sitting on the couch. S2 and S1 then informed S4 and S5 about the incident. Staff #3 (S3) stated S3 left the classroom to take the snack cart back to the kitchen while the children and staff were getting ready to transition outside. Page 1 of 2
NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Dianna ValdezSantana
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2025
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 4
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)
Page: 2 of 4
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: BRIGHT LEARNERS ACADEMY-HANSEN ELEMENTARY SCHOOL
FACILITY NUMBER: 304371627
VISIT DATE: 11/13/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
S3 thought to take the cart quickly and return to help with transition time. When S3 returned the staff were already outside with the children. S3 assumed Staff #4 (S4) and Staff #6 (S6) had counted the children before leaving the classroom. Staff #4 (S4) said the children were very energetic and loud during transition time and they needed to let their energy out. S4 said they normally go out at 8:30am and it was past that time already and it was getting late. S4 disclosed not waiting for S3 to return to the classroom and felt like S4 and S6 had to take the children outside because they were losing their outside play time. S4 disclosed that S4 and S6 forgot to count the children that day before heading outside. Staff #5 disclosed S4 did not count the children before heading outside. S5 had also instructed S4 various times to not take the children outside until a 3rd staff joined them. S5 has adjusted S2’s schedule to allow a 4th staff member to be present for morning transition times. S5 has provided additional support to staff and talked to them about constantly counting children throughout the day and will have a site supervisor provide additional training to staff. From the information LPA gathered during this inspection and staff interviews, LPA determined the facility staff failed to provide adequate supervision and C1 was in a classroom alone for about 4-7 minutes. S4 did not realize C1 was gone, until S1 notified S4 that S1 and S2 found C1 in the classroom alone this is Title 22 violation. Therefore, in the areas that were inspected, one Type A deficiency was observed of the California Code of Regulations, Title 22, Division 12 Section 101229(a)(1) Responsibility for Providing Care and Supervision. See attached LIC809D.

LPA Valdez Santana informed facility representative, that this report dated 11/13/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Valdez Santana also informed the facility representative to provide a copy of this licensing report dated 11/13/2025, 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 for no less than 30 consecutive days. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report. Page 2 of 2. End of Report

NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Dianna ValdezSantana
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 11/13/2025 02:32 PM - It Cannot Be Edited


Created By: Dianna ValdezSantana On 11/13/2025 at 02:19 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: BRIGHT LEARNERS ACADEMY-HANSEN ELEMENTARY SCHOOL

FACILITY NUMBER: 304371627

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/14/2025
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229(a)(1) (a) Responsibility for Providing Care and Supervision:The licensee shall provide care and supervision as necessary to meet the children's needs.(1)No child(ren) shall be left without the supervision of a teacher at any time...This requirement was not met by:
1
2
3
4
5
6
7
Facility reprsentative stated a staff's schedule was adjusted to add an additonal staff in room #4. Additionally, facility representative will email LPA at dianna.valdezsantana@dss.ca.gov their plan of correction by POC due date.
8
9
10
11
12
13
14
S1 and S2 disclosed finding Child #1 alone in the classroom. S4 and S5 disclosed S4 did not count the children before going outside.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Tina Nguyen
NAME OF LICENSING PROGRAM MANAGER:
Dianna ValdezSantana
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2025


LIC809 (FAS) - (06/04)
Page: 4 of 4