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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310448
Report Date: 02/19/2025
Date Signed: 02/19/2025 09:57:43 AM

Document Has Been Signed on 02/19/2025 09:57 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MORALES, LETICIAFACILITY NUMBER:
304310448
ADMINISTRATOR/
DIRECTOR:
MORALES, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 417-6021
CITY:SANTA ANASTATE: CAZIP CODE:
92707
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/19/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Licensee, Leticia MoralesTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Cynthia Sun conducted an unannounced follow-up case management inspection in response to a self-report Unusual Incident dated 01/24/25. LPA met with Licensee Leticia Morales and informed purpose of today’s case management initiated on 02/04/25. Census was taken as follows: 1 staff supervising 6 children: 1 infant and 5 preschool children, children were playing in child care room. At 9:00 AM assistant, Egricelda Guzman arrived at facility.

A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 01/24/25, Regional Office received a self-reported Unusual Incident Report (UIR) stating On 1/22/25, a Santa Ana police officer was at facility to request information regarding a red mark on Child #1 (C1) ear (police officer did not specify which side of ear).

On 01/30/2025, LPA interviewed Parent #1(P1) who stated the following: upon arriving home on 12/13/14, P1 noticed redness behind child’s left ear and what appeared to be a small scratch on C1’s neck. P1 stated C1 did not have scratch earlier on that day. P1 stated on 12/13/24, P1 called approximately at 4:00 PM and asked S1 about the red mark on C1’s ear. P1 stated at first, S1 responded C1 came that way. Then S1 stated it’s because C1 hit C1 when C1 was crying. P1 stated C1 was in pain and the ear was swollen. P1 did not take C1 to the doctor.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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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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: MORALES, LETICIA
FACILITY NUMBER: 304310448
VISIT DATE: 02/19/2025
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LPA also interviewed Staff #1 (S1) and Staff #2 (S2). Both staff provided the same information. On 12/13/24 at approximately 3:30pm, when P1 picked C1 up, S1 informed P1 in front of the facility entrance door about C1’s red mark and the conversation was recorded on Ringer Camera.

LPA reviewed footage on Ringer Camera recording dated 12/13/24 3:35 PM. LPA confirmed that on 12/13/24 approximately 3:30 PM S1 informed P1 about red mark on C1’s ear. Video footage had P1 who stated (in Spanish) “I had not seen that, I think it’s because C1 cries a lot in the car seat, and I think it was this morning because yesterday in the night I checked C1 because I had seen something here (pointing to C1’s back).

LPA requested Santa Ana Police Department Report on 1/28/25 for 1/22/25 facility visit report. The police report stated, “after conducting police officer interviews and considering the lack of witness or evidence, police officer determined that the allegations of child abuse were unfounded".

Based on LPA’s interviews and record review, it was determined the facility was in compliance with regulations and no deficiency was observed.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MORALES, LETICIA
FACILITY NUMBER: 304310448
VISIT DATE: 02/19/2025
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Exit interview conducted and report was reviewed with Licensee Notice of Site Visit was posted and must remain posted for 30 days. Failure to comply with the posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained. The licensee was provided with a copy of the appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC809 (FAS) - (06/04)
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