198015819-7-26-2022-33-CC-RLOZ-CGPSH4-20220726135255

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015819
Report Date: 07/26/2022
Date Signed: 07/26/2022 01:53:03 PM

Document Has Been Signed on 07/26/2022 01:53 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	SANTA FE KIDS COMPANY OF CALIFORNIA		FACILITY NUMBER:	198015819
ADMINISTRATOR:	CINDY SINSUN		FACILITY TYPE:	850
ADDRESS:	11304 WASHINGTON BLVD.		TELEPHONE:	(562) 695-8872
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90606
CAPACITY: 131	TOTAL ENROLLED CHILDREN: 126	CENSUS: 61	DATE:	07/26/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director Cindy Sinsun		TIME COMPLETED:	10:00 AM

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

Licensing Program Analysts (LPAs) Lilli Babcock and Roxana Lopez conducted a case management inspection, following an Unusual Incident Report (UIR) follow-up investigation conducted on 4/27/22. LPAs met with Teacher Yahaira Gutierrez who guided LPA’s on a tour of the facility. Director, Cindy Sinsun arrived at 9:33am.

LPAs conducted today's inspection for the purpose of a UIR follow up. During the UIR follow up the facility was inspected, and the following was observed.

At 9:15 am LPA’s walked into Room 4 and observed S1 to be out of ratio with 14 children. This poses an immediate risk to the health and safety of children in care. Teacher Yahaira took two children to Room 3 at that time and S1 was then in ratio, Per director- they will submit a written plan on ensuring teacher child ratio, including visual supervision, at all times.

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22.

Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

LPA’s Lilli Babcock and Roxana Lopez informed Director Cindy Sinsun that this report dated 7/26/2022 document(s) 1 Type A citation(s) 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.

---------------------------------- pg. 1 of 2 ---------------------------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SANTA FE KIDS COMPANY OF CALIFORNIA	FACILITY NUMBER: 198015819
	VISIT DATE: 07/26/2022

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

Also, LPA’s Lilli Babcock and Roxana Lopez informed the Director Cindy Sinsun to provide a copy of this licensing report dated 7/26/2022 that documents any Type A citation(s) 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Cindy Sinsun.

--------------------------------------------- Pg. 2 of 2 -----------------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 07/26/2022 01:53 PM - It Cannot Be Edited

Created By: Roxana Lopez On 07/26/2022 at 01:12 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SANTA FE KIDS COMPANY OF CALIFORNIA	FACILITY NUMBER: 198015819
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/26/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/26/2022 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	101216.3 (a) Teacher-Child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.	1 2 3 4 5 6 7	During inspection two children were sent to another classroom- Per Director, they will submit a written plan on ensuring teacher child ratio including visual supervision at all times.
	8 9 10 11 12 13 14	Based on observation and interviews, the facility did not comply with the section cited above in that S1 was observed to have 14 children present which poses an immediate health, safety or personal rights risk to persons in care.	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.

SUPERVISOR'S NAME:

Brandi VanOosten

LICENSING EVALUATOR NAME:

Roxana Lopez

LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3