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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300603868
Report Date: 04/19/2024
Date Signed: 04/19/2024 03:34:06 PM

Document Has Been Signed on 04/19/2024 03:34 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:FULLERTON COLLEGE CHILD DEVELOPMENT LABORATORY SCHFACILITY NUMBER:
300603868
ADMINISTRATOR/
DIRECTOR:
MARIETTA GILLIARDFACILITY TYPE:
850
ADDRESS:321 E. CHAPMAN AVE.TELEPHONE:
(714) 992-7070
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 27DATE:
04/19/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Director Marietta GilliardTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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(Page 1)
Licensing Program Analyst (LPA) Giselle Lucero conducted a Case Management Inspection to ensure the facility is staying within compliance of Title 22 regulations.

LPA observed 27 preschool children in care with 5 staff members providing care and supervision. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this 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 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.

LPA Lucero conducted this inspection to review facility’s procedures to ensure facility is providing care and supervision to children in care. LPA observed name to face logs on the Bright wheel app and white boards that are placed in classrooms and play yard for staff to write how many children are present in the classrooms and in the play yard. Facility uses Bright Wheel app where parents sign child in/out, as well as staff. The Bright Wheel App indicates and totals how many children are present, how many children have been signed out, and how many children are absent.

An interview with Director Marietta Gilliard was conducted. Director stated child ratio counts are recorded on care and supervision board inside the classroom and in each yard outdoors. During arrival and departure times, counts are conducted as children enter for the day and exit at the end of the day. Staff confirm total of number of children in attendance and communicate verbally using walkie talkies informing one another which child moved or has been picked up and signed out.
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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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: 04/19/2024
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(Page 2)
In the areas that were evaluated, NO deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

The Notice of Site Visit was posted. Director 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. The Center Manager was provided a copy of their Appeal Rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Center Manager was informed all appeals must be in writing and received by the Licensing office within 15 business days.


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

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC809 (FAS) - (06/04)
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