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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313783
Report Date: 12/17/2021
Date Signed: 12/17/2021 03:18:51 PM

Unsubstantiated


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
10/22/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20211022154342
FACILITY NAME:CHANG, YOURIMFACILITY NUMBER:
304313783
ADMINISTRATOR:CHANG, YOURIMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 337-0075
CITY:IRVINESTATE: CAZIP CODE:
92620
CAPACITY:14CENSUS: DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Yourim Chang, LicenseeTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility is operating over capacity.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Mila Quinto conducted an investigation visit to the home daycare to deliver the findings of the complaint initiated on 10/22/21 regarding the home daycare is operating over capacity. LPA met with licensee, Yourim Chang. The Covid-19 Emergency Response questionnaire was reviewed and answered by the licensee. Upon arrival, children started to arrive the home at 1:35pm to 2pm. There was a total of 11 school age children.

A review of facility Personnel Report Summary 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.

The complainant alleged the home daycare is operating over the capacity. On 10/28/21, LPA conducted an interview with the licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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 2
Control Number 06-CC-20211022154342
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: CHANG, YOURIM
FACILITY NUMBER: 304313783
VISIT DATE: 12/17/2021
NARRATIVE
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Licensee states children attend on rotational days and have 2 groups of children attend on Mondays/Wednesdays and another group on Tuesdays/Thursdays and Fridays are on rotational schedule. There are 5 children who attend 5 days a week and licensee maintain a ratio of 12 children daily. The children in care range from kindergarten to 5th grade and attend from 2pm to 6pm, Monday thru Friday. There is a total of 19 children enrolled which includes licensee’s 2 children. On 11/16/21, LPA called 12 parents and left messages, LPA was able to only interview 4 of the 12 parents. LPA did not receive a return call from 8 parents, the 2 of the 4 parents interviewed confirmed their child attend based on the group schedule of Mondays/Wednesdays or Tuesdays/Thursdays. 2 parents confirmed the schedule of Mondays/Wednesdays; 1 parent stated their child attend on Tuesdays/Thursdays and 1 parent stated their child attend daily.

On 12/17/21, LPA interviewed 6 children. 4 of the 6 children confirmed they attend school on Monday/Wednesday and 1 of 6 stated attend daily. 1 of 6 was not able to confirm the days of the week. All 6 children interviewed confirmed that the same children attend on the same days. LPA reviewed the children’s roster and based on the record, there are 11 children attending the Monday/Wednesday group and 12 children attending the Tuesday/Thursday group. The children only attend from 2pm to 6pm, Monday thru Fridays. Based on the sign in/sign out for the month October 2021, the Monday/Wednesday and Tuesday/Thursday group has an average of 11 to 12 children in care.

This agency has investigated the complaint alleging the home daycare is operating over capacity. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee 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. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2