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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370265
Report Date: 02/03/2026
Date Signed: 02/03/2026 10:08:38 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
12/17/2025 and conducted by Evaluator Long Pham
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20251217155039
FACILITY NAME:CHILDREN'S VILLAGE PRESCHOOLFACILITY NUMBER:
304370265
ADMINISTRATOR:GUTIERREZ, JESSICAFACILITY TYPE:
850
ADDRESS:254 S. ESPLANADETELEPHONE:
(714) 633-3133
CITY:ORANGESTATE: CAZIP CODE:
92869
CAPACITY:95CENSUS: 68DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Site Supervisor Stephanie Nord TIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Minor sustained an injury due to staff neglect.
INVESTIGATION FINDINGS:
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On 2/03/2026 at 9:05AM, Licensing Program Analyst (LPA) Long Pham conducted an unannounced complaint inspection for the purpose of delivering findings. Upon arrival, LPA met with the Site Supervisor Stephanie Nord and was led on a tour of the facility. LPA observed a total of 68 preschool children with 9 staff. This is a continuation of a complaint inspection initiated on 12/19/2025.
A review of the Facility 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. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.
On 12/17/2025, the Orange County Child Care Office received a complaint alleging Minor sustained an injury due to staff neglect. Reporting Party (RP) stated that during playtime on the playground, child #1 (C1) was standing on the tire swing, and C1 fell and hit C1’s forehead on the dirt due to staff not providing 100 percent visual supervision to children in care.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Long Pham
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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-20251217155039
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: CHILDREN'S VILLAGE PRESCHOOL
FACILITY NUMBER: 304370265
VISIT DATE: 02/03/2026
NARRATIVE
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During the investigation, LPA toured the facility and obtained pertinent documents. LPA also conducted interviews with the reporting party, 6 staff members, 5 parents, and 5 children.

Regarding the allegation of “Minor sustained an injury due to staff neglect”
During the staff interview, 3 out of 6 interviewed staff confirmed the incident with C1. Staff # 2 (S2) stated that the staff do not provide 100 percent supervision to children in care because they need to input and finish the Daily Activities Report on the ipads before 3:00PM while they are outside supervising the children. Staff # 3 (S3) stated that there is a lack of supervision because staff need to input and finish the Daily Activities Report on the ipads before 3:00PM while they are outside supervising the children. Staff #6 (S6) stated that S6 was present and did not witness when the child fell off the swing because S6 was busy supervising other children.
Staff # 1 (S1), Staff # 4 (S4), Staff # 5 (S5), and S6 denied the allegation above. However, S1, S4, and S5 were not present or witnessed the incident. 6 out 6 interviewed staff stated that the facility’s care and supervision policy is to scan the whole yard, watch out for blind spots, and provide 100 percent visual supervision for all children in care
During the parent interview, 4 out of 5 interviewed parents did not divulge any information pertaining to the allegation.

Based on LPAs observations and interviews, the preponderance of evidence has been met; therefore, the allegation of Minor sustained an injury due to staff neglect was found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1 Responsibility for Providing Care and Supervision 101229(a)(1) is being cited. See LIC9099D for deficiency cited.

Exit interview was conducted and report was reviewed with the Site Supervisor Stephanie Nord.Notice of Site Visit was posted during the visit. The facility representative 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 were explained. The facility representative 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.

End of Report.

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SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Long Pham
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 06-CC-20251217155039
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: CHILDREN'S VILLAGE PRESCHOOL
FACILITY NUMBER: 304370265
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
02/17/2026
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met evidenced by:
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The Site Supervisor Stephanie Nord stated that they will appeal the citation. Therefore, they will not create or accept the Plan of Correction (POC).
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Based on LPAs observations and interviews with staff members, the licensee did not comply with the section cited above due to Staff # 2 (S2) stated that the staff do not provide 100 percent supervision to children in care because they need to input and finish the Daily Activities Report on the ipads before 3:00PM while they are outside supervising the children, and Staff # 3 (S3) stated that there is a lack of supervision because staff need to input and finish the Daily Activities Report on the ipads before 3:00PM while they are outside supervising the children 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: Tina Nguyen
LICENSING EVALUATOR NAME: Long Pham
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
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