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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270620
Report Date: 10/11/2022
Date Signed: 10/11/2022 12:07:11 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/06/2022 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221006174621
FACILITY NAME:ADVENTURES IN LEARNING IIFACILITY NUMBER:
304270620
ADMINISTRATOR:MENDOZA, SUSANAFACILITY TYPE:
850
ADDRESS:1111 EL CAMINO REALTELEPHONE:
(714) 730-5458
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY:79CENSUS: 19DATE:
10/11/2022
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Susana Mendoza, DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Facility has vermin.
INVESTIGATION FINDINGS:
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On 10/11/2022, Licensing Program Analyst (LPA) Tran and LPA Castanon conducted an in-person investigation regarding allegation that facility has vermin. LPA Tran met with Director Susana and informed her of the allegation.

A tour around the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 19 children and 4 staff members.

A review of the Facility Personnel Report Summary on 10/11/2022 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 10/06/2022, the Regional Office received a complaint with allegation that facility has vermin.
(Continue next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20221006174621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ADVENTURES IN LEARNING II
FACILITY NUMBER: 304270620
VISIT DATE: 10/11/2022
NARRATIVE
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(Page 2 of Report)

During the course of investigation, LPA Tran and LPA Castanon inspected the facility outside and inside and
interviewed 4 staff.

During the inspection, LPA Tran and LPA Castanon observed vermin's droppings on the playground area and in the classroom Blue Bird, Red Robin, and in the facility kitchen, along the walls and behind furniture. Director immediately cleaned up the droppings throughout the inspection. LPAs also observed facility have mouse's trap by the entrance of the playground and by the front entrance of the facility.
During interviews, LPA Tran interviewed 4 staff at the facility on 10/11/2022. 3 out of 4 interviewed staff said they have seen vermin in the outdoor areas at approximately 2-6 months ago.

Based on the information gathered from LPA's observations and interviews conducted with 4 staff on 10/11/2022, the preponderance of evidence standard has been met, therefore the above allegation of facility has vermin is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101238(a)(1) Buildings and Grounds is being cited on attached LIC 809 D.

Appeal Rights and deficiency 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 given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Susana Mendoza.


(End of Report)
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20221006174621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ADVENTURES IN LEARNING II
FACILITY NUMBER: 304270620
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2022
Section Cited
CCR
101238(a)(1)
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101238(a)(1)Buildings and Grounds (a) The child care center shall be clean, safe, sanitary... to ensure the safety and well-being of children...(1) The licensee shall take measures to keep the center free... rodents.
This requirement is not met as evidence by:
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The Director states that she will discuss with the owner to come up with a detailed plan to ensure the facility is clean and resolve the issue of rodent coming inside the facility, and will submit the plan to LPA Tran by due date.
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Based on LPA's observations and interviews, there are rodent's droppings in the playground, 2 classrooms and kitchen of the the facility, which posts a potential risk to the health and safety of children in care.
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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.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3