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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370734
Report Date: 09/07/2023
Date Signed: 09/07/2023 07:57:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/14/2023 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230614115112
FACILITY NAME:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370734
ADMINISTRATOR:WOJCIK, MELISSAFACILITY TYPE:
850
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY:76CENSUS: 25DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:DIrector, Melissa Wojcik TIME COMPLETED:
08:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating out of ratio
Staff comingled day care children
Facility classroom sink was in disrepair
Staff health screenings were not being verified
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/07/2023 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Fun 4 Kids Preschool for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Director, Melissa Wojcik. Director was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 3 Staff and 25 preschool children present.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 06/14/2023 a complaint was filed with the Licensing office stating Facility is operating out of ratio, Staff comingled day care children, and Staff health screenings were not being verified.
Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
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 7
Control Number 06-CC-20230614115112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
VISIT DATE: 09/07/2023
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
During the course of investigation, LPA interviewed 9 staff members, and 6 parents and 5 children interviewed.

During the staff interviews, Staff (S1), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5) and Staff 7 (S7) disclosed that they have been over ratio. S3, S4 and S5 disclosed that children are often shuffled into different rooms because they are trying to maintain ratios and subsequently comingle the different age groups. S3 stated S3 has had up to 15 children and had to send some students to the preschool classrooms. S4 said S4’s class is often comingled with room #1 which has an age range of 1-2 ½ year old and that other classrooms are over in the afternoon. S4 stated comingling has been happening since March. S8 stated, sometimes in morning from 6am- 7am, the children are comingled. S5 stated they may have been over ratio only for a split second in when a teacher is coming in. S7 stated about being over ratio, 99% they are okay, but during the transition when another staff is set to come but it doesn’t happen often. S1 admitted that it (being over ratio) happens but not often, although the staff schedules are staggered to meet ratio needs but acknowledged that staggering aides is what is needed to meet any staff-child ratio needs. LPA obtained a sign in/out timesheets for students and staff. LPA observed comingling between infants, preschool and school-age. There was 1 infant, 2 preschoolers and 1 school-age child with one staff. Facility has a comingle waiver from 6am-7am but only for preschool and school-age it does not include infants.

LPA asked S1 if all the staff have met all the health requirements to work with children and S1 stated the staff do except Staff 10 (S10) does not have that in S10’s file right now. LPA reviewed staff 9 files, S10 did not have proof of TB test and health screening ready for review. S10 was hired in 04/10/2023.

On 6/21/23, LPA asked staff about the sink in room #3 not working, S1 stated it had not been working for a little over a week but that a plumber already came to take a look at it and the faucet was getting replaced. S4 disclosed that it has not been working since April 2023. S5 stated, It hasn’t been working for a month and there has been plumbers coming to fix it, but the leak can’t be fixed, perhaps it’s just too old and it needs to be replaced.” Child #1 (C1) the sink in the classroom had not been working for a little while. On 6/21/23 LPA observed that sink was not working and seemed to be leaking that same day a plumber came to the facility to take a look at the sink but would have to return at a later time to attempt to repair it.

6 of 8 parents were interviewed, parents had no issues or concerns with the daycare.


.
Page 2 of 3
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20230614115112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
VISIT DATE: 09/07/2023
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
Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101216.3 Teacher-Child Ratio- Type A, CCR Section 101161(a)- Limitations on Capacity and CCR Section 101239(e)(4) Fixtures, Furniture, Equipment and Supplies and CCR Section 101217(a)(11) Personnel Records- Type B is being cited on the attached LIC 9099D. Please refer to attached 9099D for documentation of deficiencies

Exit interview was conducted. The Notice of Site Visit was posted. 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.

LPA Valdez Santana informed Director, Melissa Wojcik, that this report dated 9/7/23 documents one Type A citation which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Valdez Santana informed the Director to provide a copy of this licensing report dated 9/7/23 that documents any Type A citations 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.

Page 3 of 3. End of Report.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20230614115112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/08/2023
Section Cited
CCR
101216.3
1
2
3
4
5
6
7
Teacher-Child Ratio- There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...
This requirement is not met as evidence by: Based on LPA’s interviews, 5 out of 9 staff disclosed that classrooms have been over
1
2
3
4
5
6
7
Director stated she will also start staggering the aides' schedules to meet the children's needs. Director will email LPA POC plan by due date at dianna.valdezsantana@dss.ca.gov
8
9
10
11
12
13
14
 ratio. S1 admitted that being over ratio happens but not often. S5 stated they may have been over ratio only for a split second. S7 stated 99% they are okay, but during the transition when another staff is set to come it happens but not often.
8
9
10
11
12
13
14
Type B
09/15/2023
Section Cited
CCR
101161(a)
1
2
3
4
5
6
7
Limitations on Capacity: (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:
1
2
3
4
5
6
7
Director stated she will email LPA POC plan by POC due date at dianna.valdezsantana@ dss.ca.gov
8
9
10
11
12
13
14
During interviews, S3 stated S3 has had up to 15 children and had to send some students to the preschool classrooms. S4 stated S4's class is often comingled with room #1 which has an age range of 1-2 ½ year olds. S8 stated, sometimes in morning from 6am- 7am, the children are comingled.
8
9
10
11
12
13
14
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: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 06-CC-20230614115112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/07/2023
Section Cited
CCR
101239(e)(4)
1
2
3
4
5
6
7
Fixtures, Furniture, Equipment and Supplies: All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition...

This requirement is not met as evidence by:
1
2
3
4
5
6
7
Director provided LPA with an invoice of a Plumbing company showing the faucet was fixed on 6/21/23.
8
9
10
11
12
13
14
Based on LPA’s interviews and observations, S4 disclosed that the sink in room #3 has not been working since April 2023. S5 stated, It hasn’t been working for a month and there has been plumbers coming to fix it. Child #1 (C1) said the sink in the classroom has not been working for a little while.
8
9
10
11
12
13
14
Type B
09/07/2023
Section Cited
CCR
101217(a)(11)(12)
1
2
3
4
5
6
7
Personnel Records: a)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening... and (12) Tuberculosis test documents...
1
2
3
4
5
6
7
Director stated she understood that all new hires must provide all required health documents prior to working at the facility. Director stated she did have S10 complete the missing documents after LPA's visit.
8
9
10
11
12
13
14
This requirement is not met as evidence by:
S1 disclosed that S10 did not have on file her health requirements to work with children which was the health screening form or proof of TB test.
8
9
10
11
12
13
14
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: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/14/2023 and conducted by Evaluator Dianna ValdezSantana
COMPLAINT CONTROL NUMBER: 06-CC-20230614115112

FACILITY NAME:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370734
ADMINISTRATOR:WOJCIK, MELISSAFACILITY TYPE:
850
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY:76CENSUS: 25DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Director Melissa Wojcik TIME COMPLETED:
08:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate meals to day care children
Facility toys were not maintained in good condition
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/07/2023 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Fun 4 Kids Preschool for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Director, Melissa Wojcik. Director was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 3 Staff and 25 preschool children present.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 06/14/2023 a complaint was filed with the Licensing office stating Facility toys were not maintained in good condition and Staff did not provide adequate meals to day care children.
Reporting Party (RP) stated, “Kids are always hungry. Meal sizes are not being followed. Toys are not being cleaned and disinfected. Page 1 of 2.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20230614115112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FUN 4 KIDS PRESCHOOL
FACILITY NUMBER: 304370734
VISIT DATE: 09/07/2023
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
During the course of investigation, LPA interviewed 9 staff members, and 6 parents and 5 children interviewed.
During the staff interviews, Staff 1 (S1) stated, the snack they serve it is enough because we always have leftovers and if they ask for more we give them more. No, kids are never left hungry. Staff 5 (S5) said, They can always ask for more but we try to keep it a snack and not a meal. Parents know that they can provide additional snacks. There’s always enough. Staff (S6) disclosed, If the children ask for more they get more and said the kids are never left hungry. We make sure they eat, and children also bring their own extra snacks or we can ask for more from the kitchen.

When touring the facility LPA did not observe any toys in disrepair and observed age-appropriate meal sizes during snack and lunch.

6 of 8 parents were interviewed, parents had no issues or concerns with the daycare.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The facility representative 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 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

Page 2 of 2. End of Report.

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 7