<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270647
Report Date: 01/18/2024
Date Signed: 01/18/2024 10:50:05 AM

Document Has Been Signed on 01/18/2024 10:50 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:FAMILY CAMPUS PRESCHOOLFACILITY NUMBER:
304270647
ADMINISTRATOR:VICTORIA HERNANDEZFACILITY TYPE:
850
ADDRESS:10540 CHAPMAN AVENUETELEPHONE:
(714) 741-0970
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY: 112TOTAL ENROLLED CHILDREN: 112CENSUS: 45DATE:
01/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Victoria Hernadez (Director)TIME COMPLETED:
11:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Vivian Trinh and (LPA) Karen Navar conducting an unannounced visit to delivery of findings for a self-reported Unusual Incident Report that was investigated by LPA Araceli Bootorabi.

Upon arrival, the LPAs met with the Director, Victoria Hernadez and Sarah Pham, and informed the purpose of the investigation inspection. LPAs observed 45 preschool-age children and 15 staffs members.

The facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, before initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The department received a self-reported Unusual Incident Report (UIR) on 12/06/2023. The facility reported that Child #1 alleged that they were inappropriately touched.

LPA Bootorabi called and discussed the case with Garden Grove Police officer investigating the case on 12/07/2023. LPA Bootorabi was informed that the case was not being referred for further investigation, case closed based on interviews and evidence.

LPA interviewed C1’s parent (P1) on 12/11/2023. P1 stated that the child disclosed being inappropriately touched. C1 was inconsistent on where and who touched C1.

Continued Page 2
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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 2
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: FAMILY CAMPUS PRESCHOOL
FACILITY NUMBER: 304270647
VISIT DATE: 01/18/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2
On 12/11/2023 LPAs interviewed 5 staff members at the facility. 5 of 5 staff stated they have never witnessed children conducting inappropriately or violating each other's rights. 5 of 5 staff always mentioned supervising children and not leaving children unattended where such behavior could not be observed. The director stated that C1 and C2 do not go out to the playground together, based on their schedules.

LPA Bootorabi interviewed C1 who was qualified by asking a series of true, false, and color questions. C1 made disclosures of being touched inappropriately by C2. while out in the playground. C1 made no further disclosures about where the incident occurred.

LPA’s Bootorabi and Trinh attempted to qualify C2 by asking a series of true, false, and color questions. C2 did not speak with the LPAs and could not be qualified.

Other children enrolled in the program were interviewed and qualified by a series of true, false, and color questions. LPA’s interviewed 6 (C3-C8) children and attempted to qualify all 6 by asking a series of true, false, and color questions. 4 of 6 children were qualified (C3, C4, C6, & C8).

Based on LPA’s interview with staff, children, and documentation collected there is not enough evidence to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted. Report reviewed and discussed. Notice of Site Visit was posted during the visit. The 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. Appeal rights provided and explained. The licensee was provided with a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Director was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov

End of the Report.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2