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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371716
Report Date: 07/08/2026
Date Signed: 07/08/2026 04:10:55 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
04/29/2026 and conducted by Evaluator Giselle Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260429104204
FACILITY NAME:ANAHEIM KIDS ACADEMYFACILITY NUMBER:
304371716
ADMINISTRATOR:ANTHONY, HARSHIFACILITY TYPE:
860
ADDRESS:3330 WEST LINCOLN AVENUETELEPHONE:
(714) 886-2550
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:114CENSUS: 44DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Assistant Director Bianca FrancoTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Staff did not notify parent of child's injury
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced visit to deliver the findings for the above allegation. LPA observed a total of 44 children, which included 25 preschool children with 3 staff members in the preschool classrooms, 13 toddlers with 3 teachers in the toddler play area, 4 infants with 2 teachers in the infant classroom and 2 school age children with 1 staff in the school age room.

A review of facility Personnel Report Summary on this date indicates that facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 04/29/2026 alleging staff did not notify parent of child's injury.

(continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 4
Control Number 06-CC-20260429104204
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: ANAHEIM KIDS ACADEMY
FACILITY NUMBER: 304371716
VISIT DATE: 07/08/2026
NARRATIVE
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(Page 2)
The Reporting Party (RP) reported that a parent was not notified by staff regarding a child’s injury. The RP stated that staff informed the parent only after the parent contacted the facility staff to inquire why the child was observed with dried blood in their nose. The RP also reported that the parent did not receive an ouch report nor a verbal notification. Concerns were raised regarding insufficient notification to parents about incidents or injuries.

As part of the investigation, LPA Lucero conducted interviews with staff members and documents were reviewed.

Staff reported that when incidents occur, they notify the director and either the director or staff will notify the parents verbally or through a written ouch report. Staff who observed the incident typically write the ouch report. Staff interviewed acknowledged awareness of an incident involving two children who collided, resulting in one child experiencing a minor nosebleed. Staff stated they attended to the child and cleaned them up. Staff also stated that the parent was not informed because there were no obvious signs of injury afterward and both children appeared fine. They further confirmed that no ouch report was completed for this incident.

LPA obtained and reviewed ouch reports for the child and did not observe any documentation related to the incident described.

The RP provided written communication between the parent and staff in which the parent inquired about what had occurred. Staff apologized for the lack of notification and provided the parent with information after speaking with the teachers who witnessed the incident.

Based on the information gathered from interviews, a review of documentation, it was determined staff did not notify parent of child's injury. Therefore, the preponderance of evidence standard has been met, and the above allegation is found to be Substantiated. 1 type B deficiency is being issued; California Code of Regulations, Title 22, Section 101212(f) Reporting Requirements is being cited on the attached LIC 9099D.

(continue to page 3)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20260429104204
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: ANAHEIM KIDS ACADEMY
FACILITY NUMBER: 304371716
VISIT DATE: 07/08/2026
NARRATIVE
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(Page 3)
An exit interview was conducted, and the report was reviewed with Assistant Director Bianca Franco. A Notice of Site Visit was issued and must remain posted for 30 days. Appeal rights were explained. The Facility representative's signature on this form acknowledges receipt of these rights.

End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20260429104204
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: ANAHEIM KIDS ACADEMY
FACILITY NUMBER: 304371716
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2026
Section Cited
CCR
101212(f)
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101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement is not met as evidence by:
Based on record review and interviews,
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Assistant Director stated they will send out a written memo that staff will sign that acknowledges importance of informing authorized representatives of any injuries/incidents that occur at the facility. Copies of signed memos will be sent to LPA by POC due date.
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the staff did not report child’s incident/injury to authorized representative. This poses a potential risk to the health, safety, or personal rights of 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: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4