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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304312791
Report Date: 09/23/2025
Date Signed: 09/23/2025 11:43:17 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
09/16/2025 and conducted by Evaluator Alma Castro
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250916110836
FACILITY NAME:CHOI, SOYEONFACILITY NUMBER:
304312791
ADMINISTRATOR:CHOI, SOYEONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 944-4997
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: 10DATE:
09/23/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee, Soyeon ChoiTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are not vaccinated
INVESTIGATION FINDINGS:
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On 09/23/2025, Licensing Program Analyst (LPA), Alma Castro, conducted an unannounced visit to initiate a complaint that was received at the Orange County Regional Child Care Licensing Office. LPA met with Licensee, Soyeon Choi, and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of 10 children and 3 staff.

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 09/16/2025, the Orange County Regional Child Care Licensing Office received a complaint that alleges: Staff are not vaccinated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
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-20250916110836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: CHOI, SOYEON
FACILITY NUMBER: 304312791
VISIT DATE: 09/23/2025
NARRATIVE
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During the investigation, LPA Castro interviewed three (3) staff and reviewed three (3) staff files. Staff provided consistent statements about receiving MMR and Tdap Vaccines and verification was provided. During record review, it was discovered that two out of three (2/3) staff did not have influenza verification on file.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging Staff are not vaccinated. Based on information gathered from LPA’s observations, interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is substantiated. The following type B deficiency will be cited according to California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 1597.622(a)(1) Employees or volunteers at family day care home; immunization requirements; records; exemptions.

One type "B" deficiency was cited. Refer to LIC9099D for more details.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Soyeon Choi 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. Director was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report.

SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250916110836
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: CHOI, SOYEON
FACILITY NUMBER: 304312791
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/23/2025
Section Cited
HSC
1597.622(a)(1)
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1597.622(a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1
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Licensee will submit verifcation of influenza by due date to LPA's email address.
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and December 1 of each year. Based on observation, interview, and record review, the licensee did not comply with the section cited above in that, 2 out of 3 staff did not have influenza verification on file, which poses a potential health, safety or personal rights risk to persons 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: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3