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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300606173
Report Date: 11/20/2025
Date Signed: 11/20/2025 03:47:30 PM

Document Has Been Signed on 11/20/2025 03:47 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:WESTMINSTER SCHOOL DISTRICT-LAND CHILD DEV. CTRFACILITY NUMBER:
300606173
ADMINISTRATOR/
DIRECTOR:		MILLER, MICHELLEFACILITY TYPE:
850
ADDRESS:15151 TEMPLE STTELEPHONE:
(714) 898-8389
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY: 168TOTAL ENROLLED CHILDREN: 168CENSUS: 75DATE:
11/20/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Program Specialist, Jessica Palacios & Early Learning Coordinator, Carolyn WertheimTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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On 11/20/2025, Licensing Program Analyst (LPA) K. Trinh conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPA met with Program Specialist, Jessica Palacios & Early Learning Coordinator, Carolyn Wertheim. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 75 preschool children, and 17 preschool staff members present. 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.

An Unusual Incident Report (UIR) was submitted to the Department on 09/23/2025. It was reported that Child 1 (C1) disclosed to their authorized representative that Adult 1 (A1) allegedly slapped them in the face. On 09/24/2025, C1’s authorized representative spoke with Staff 1 (S1) and they disclosed to facility representative that that A1 allegedly slapped C1. Early Learning Coordinator, Carolyn Wertheim stated that they conducted an internal investigation, and the incident has been reported to Community Care Licensing, Child Protective Services (CPS), and School Resource Officer (SRO).

LPA requested the Westminster Police Department Report on 10/27/2025. The police report stated, that on 09/24/2025, Officer Karlo Munoz arrived at the facility to conduct interviews. Officer Munoz attempted to interview C1, but C1 did not respond verbally or nonverbally to Officer Munoz’s questions regarding the alleged incident. Officer Munoz also interviewed A1 and S3. A1 stated that as the children were dancing, C1 was doing a handstand. A1 touched C1’s back and told them not to do handstands since other children were around.
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NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: WESTMINSTER SCHOOL DISTRICT-LAND CHILD DEV. CTR
FACILITY NUMBER: 300606173
VISIT DATE: 11/20/2025
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A1 moved C1 to prevent C1 from falling on other children. S3 stated that they were in the classroom with A1 that day and did not observe A1 strike C1.

On 09/25/2025, Officer Munoz returned to the facility to interview Staff 6 (S6) and Staff 7 (S7). S6 and S7 stated that they did not witness a staff member striking a child. The police report stated that Officer Munoz could not determine if the allegation had occurred based on the totality of the circumstances and lack of evidence.

On 10/13/2025, LPA K. Trinh obtained pertinent documents and conducted interviews with six (6) staff members. LPA attempted to interview two (2) children, but the children present could not be interviewed due to their age and verbal development. Staff 3 (S3) and Staff 6 (S6) disclosed that they worked with A1 in Room 8 on 09/24/2025 and did not observe A1 slap C1.

Following the alleged incident, Early Learning Coordinator, Carolyn Wertheim removed A1 from the facility and has provided site level meetings to provide support for staff and discuss strategies to address children’s behaviors.

Based on LPA’s interviews and record review there were no violations found. No deficiencies were cited, and the report was reviewed with Program Specialist, Jessica Palacios and Early Learning Coordinator, Carolyn Wertheim. Notice of Site Visit was given and must remain posted for 30 days.

End of report.
NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC809 (FAS) - (06/04)
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