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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300603868
Report Date: 07/21/2023
Date Signed: 07/21/2023 10:56:13 AM

Document Has Been Signed on 07/21/2023 10:56 AM - 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:FULLERTON COLLEGE CHILD DEVELOPMENT LABORATORY SCHFACILITY NUMBER:
300603868
ADMINISTRATOR:MARIETTA GILLIARDFACILITY TYPE:
850
ADDRESS:321 E. CHAPMAN AVE.TELEPHONE:
(714) 992-7070
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
07/21/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marietta Gillard and Tom Shiaromonte TIME COMPLETED:
11:00 AM
NARRATIVE
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(Page 1)
An informal office meeting was conducted on this date, 7/21/2023. In the Orange County Regional Office. In attendance was Licensing Program Manager (LPM) Judy Hanson and Licensing Program Analyst (LPA) Giselle Lucero along with Director Marietta Gillard and Tom Shiaromonte.

The purpose of the informal meeting was to discuss the following.

101229 Responsibility for Providing Care and Supervision (a) 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. Supervision shall include visual observation.

On 4/21/2023 a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported a child walked out of the lower play yard and walked past staff that was assisting a parent during sign out. Child was then observed sitting alone on a ramp which is located in front of room#2.

During the informal conference, Director discussed they have revisited what supervision looks like, conducted staff training's on supervision and moved equipment around in the play yard to create barriers. Director also stated the facility requires every teacher assistant to complete the mandated reporter training and to have 12 Early Childhood Education (ECE) units completed at the time of start date. Director provided LPA and LPM with a copy of their policy and procedure section from their employee handbook.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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: FULLERTON COLLEGE CHILD DEVELOPMENT LABORATORY SCH
FACILITY NUMBER: 300603868
VISIT DATE: 07/21/2023
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(page 2)
Upon receipt of this report pertaining to a conference conducted by a local Licensing Agency in which issues of non-compliance are discussed, the Licensee must: 1) Provide a copy of this report to the parent/guardian of children currently enrolled by the next business day or immediately upon return. 2) A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). 3) Obtain signature and date from the child's parent/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224. 4) Keep a record immediately upon receipt of the completed and signed LIC 9224 acknowledging receipt of this report in the child's file.

Director was informed to provide a copy of this report and LIC 9224 (Acknowledgement form).

Increased unannounced inspections to the facility will be conducted by Community Care Licensing for the next 2 years to monitor compliance. The purpose of these increased inspections is to ensure we as the Department are working with the licensees to ensure a return to compliance of regulation and code.

The following was discussed with the Director:
1. The facility must be in compliance at all times.
2. The licensee's will be placed on required visits for the next two years.
3. The facility will be placed on increased inspections for two years.
4. The Director was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms, and regulations.
5. Director was advised subsequent citations within the next 12 months will result in civil penalties.

Technical Support Program (TSP) was discussed and a handout was given to Marietta Gillard. Marietta Gillard has agreed to a TSP referral.

Exit interview conducted with Marietta Gillard and Tom Shiaromonte who is in agreement with the above. A copy of this report was provided to Marietta Gillard.


End of Report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023
LIC809 (FAS) - (06/04)
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