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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370327
Report Date: 12/19/2025
Date Signed: 12/19/2025 02:54:44 PM

Unsubstantiated


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
11/17/2025 and conducted by Evaluator Jessica Carreiro
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20251117152342
FACILITY NAME:EVERBROOK ACADEMYFACILITY NUMBER:
304370327
ADMINISTRATOR:LARSON, RUTHFACILITY TYPE:
850
ADDRESS:30722 RICHARD REESE WAYTELEPHONE:
(949) 888-7274
CITY:RANCHO SAN MARGARITASTATE: CAZIP CODE:
92688
CAPACITY:117CENSUS: DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Assistant Director, Shipra ShrivastavaTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Staff does not ensure facility has an adequate food supply.
Staff does not provide day care children portion requirements for meals.
INVESTIGATION FINDINGS:
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On 12/19/2025, Licensing Program Analyst (LPA), Carreiro conducted an unannounced visit to the facility to deliver findings for a complaint that was received at the Orange County Regional Child Care Licensing Office. LPA met with Assistant Director, Shipra Shrivastava, and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of 42 children and 5 staff members.

A review of the Facility Personnel Report Summary on this date 12/19/2025 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.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Jessica Carreiro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 2
Control Number 06-CC-20251117152342
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: EVERBROOK ACADEMY
FACILITY NUMBER: 304370327
VISIT DATE: 12/19/2025
NARRATIVE
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On 11/17/2025, the Orange County Regional Child Care Licensing Office received a complaint with two allegations listed above: (1) Staff does not ensure facility has an adequate food supply and (2) Staff does not provide day care children portion requirements for meals.

Regarding allegation (1) Staff does not ensure facility has an adequate food supply.

During the investigation, LPA interviewed ten (10) staff members, five (5) children, and three (3) parents. LPA also obtained a copy of the Children’s Roster and documents pertinent to the investigation.

During the visits on 11/20/25 and 12/2/2025, LPA observed the facility’s kitchen where the food supply is located. LPA observe facility has adequate food in storage, especially regarding milk. During interviews, LPA interviewed ten (10) staff members, nine (9) out of ten (10) staff members stated the facility has not run out of milk. LPA interviewed five (5) children, three (3) out of five (5) interviewed children stated facility provided milk for the children and they can ask for more if needed. LPA contacted seven (7) parents, only three (3) parents responded. All interviewed parents stated they did not have any concern related to the allegation.

Regarding allegation (2) Staff does not provide day care children portion requirements for meals.

During the investigation, LPA interviewed ten (10) staff members, five (5) children, and three (3) parents. Ten (10) out of ten (10) staff members stated that the facility does make sure every child gets the required amount of milk serving daily. Four (4) out of five (5) children stated that the facility gives a lot of milk. One of the children stated that they don’t drink milk. LPA contacted seven (7) parents, only three (3) parents responded. All interviewed parents stated they did not have any concern related to the allegation.

Based on the information gathered from LPAs’ interviews, observations, records, the preponderance of the evidence has not been met. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations of (1) Staff does not ensure facility has an adequate food supply and (2) Staff does not provide day care children portion requirements for meals, therefore, the allegations are UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were given.

Exit interview conducted and report was reviewed with the Assistant Director, Shipra Shrivastava.

SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Jessica Carreiro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2