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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600295
Report Date: 04/04/2023
Date Signed: 04/04/2023 04:04:26 PM

Document Has Been Signed on 04/04/2023 04:04 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:DISCOVERY GARDENS FULLERTON EEELCFACILITY NUMBER:
300600295
ADMINISTRATOR:GREENSPAN, CYNTHIAFACILITY TYPE:
850
ADDRESS:1145 WEST VALENCIA MESATELEPHONE:
(714) 738-1541
CITY:FULLERTONSTATE: CAZIP CODE:
92833
CAPACITY: 55TOTAL ENROLLED CHILDREN: 55CENSUS: 26DATE:
04/04/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Director Cynthia GreenspanTIME COMPLETED:
04:15 PM
NARRATIVE
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809 Page 1

On 04 April 2023, Licensing Program Analysts (LPAs) Archibaldo Silva and Romy Castanon conducted a Case Management due to deficiencies observed during today's inspection. Director Cynthia Greenspan assisted LPAs during the visit. LPAs toured three classrooms (Pine, Oak, and Ash) and took census. Census at the time of visit was 26 children and 4 staff members.

An on-site Facility Personnel Report Summary review on 04/04/23 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions, with the exception of Alexandria Pluma (whose start date is recorded as 01/24/2022 on the Personnel Record LIC501 in file). LPAs informed the director that staff mentioned above was not listed as associated to the facility on the report summary. A Guardian records review shows that an application to complete the fingerprint scan closed on 01/31/22 before the fingerprints were taken. A second application dated 06/27/22 shows as incomplete. Guardian shows the determination as “Closed-Fingerprints Not Taken.” Upon review of the staff personnel file and Guardian records, documents needed to complete the clearance process have not been submitted, therefore a fingerprint clearance does not exist for staff Alexandria Pluma. A civil penalty is being assessed today.

Based on LPAs records review and an interview conducted with Director, the facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101170(e)(1) Criminal Background Clearance for one (1) staff who did not obtain a California clearance or a criminal record exemption as required by the Department.

Continue on 809 Page 2
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: DISCOVERY GARDENS FULLERTON EEELC
FACILITY NUMBER: 300600295
VISIT DATE: 04/04/2023
NARRATIVE
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809 Page 2

Upon receipt, the licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled during the next 12 months. Licensee shall keep signed LIC9224 (Acknowledgement of Receipt Report) in each child's file. This licensing report dated 04/04/23 shall remain posted for 30 days.

Appeal Rights 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 provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Cynthia Greenspan.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/04/2023 04:04 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 04/04/2023 at 02:43 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: DISCOVERY GARDENS FULLERTON EEELC
FACILITY NUMBER: 300600295

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/05/2023
Section Cited
CCR
101170(e)(1)

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101170(e) All individuals subject to a criminal record review... shall ...: (1) Obtain a California clearance or a criminal record exemption…

This requirement was not met as evidenced by:
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Alexandria left the facility while LPAs were still present. The director understands that Alexandira shall not return until clearance has been received by the Regional Office.
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Based on observation, records review, and interview, the licensee did not comply with the section cited above in 1 out of 4 staff present during the inspection. Guardian showed the determination as “Closed-Fingerprints Not Taken” at the time of inspection.
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The director will have Alexandria complete a live scan. The director will email LPA A. Silva proof of clearance prior Alexandria returning to the facility.

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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.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 04/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2023


LIC809 (FAS) - (06/04)
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