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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370444
Report Date: 02/21/2025
Date Signed: 02/21/2025 03:57:44 PM

Document Has Been Signed on 02/21/2025 03:57 PM - 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:OC KIDS CHILDCARE INC.- CAWTHONFACILITY NUMBER:
304370444
ADMINISTRATOR/
DIRECTOR:
DIAZ, AMYFACILITY TYPE:
850
ADDRESS:10160 DENNI STREETTELEPHONE:
(714) 484-7844
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 31DATE:
02/21/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Amy Diaz ,Director TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Patricia Duron conducted a Case Management Inspection to investigate previous deficiency which were cited during an investigation dated 7/21/2023. LPA Duron informed the director of the purpose of the visit. LPA met with Director, Amy Diaz. LPA observed 31 preschool children with 4 staff members.

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 7/21/2023 facility was cited, California Code of Regulations, Title 22, Division 12, Chapter 1 Section
101229(a)(1) Responsibility for Providing Care and Supervision, 101212(d)(1)(C) Reporting Requirements, 101223(a)(1) Personal Rights

During a visit to the facility, interviews with staff members were conducted and revealed that, Staff #1(S1) left child #1 in the restroom alone for approximately 4-5 minutes on 4/13/2023. A staff member found child#1 unsupervised at the gate between the elementary school and the PreK classroom after returning from the restroom.
On 7/21/2023, LPA interviewed the director. According to the director, on 4/13/23 around 10am, a child was left alone at the gate outside between the elementary school and the PreK classroom for 2 minutes. Director stated another staff discovered a child was missing when doing a head count after returning to the classroom. Director stated they were unaware of reporting incident to Licensing office; however, it was reported to the Licensee.
On 5/12/23, LPA interviewed 6 staff members including the director, 2 of the 6 staff members witnessed S1 use a scolding stern voice towards C1. Page 1 of 2.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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: OC KIDS CHILDCARE INC.- CAWTHON
FACILITY NUMBER: 304370444
VISIT DATE: 02/21/2025
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LPA Duron conducted this inspection to review facility’s procedures to ensure facility is following California Code of Regulations, Title 22 Regulations, Division 12.

The Director stated, facility provided training to staff members regarding supervision, and personal rights. Director stated the Start Well Program provided a training to staff, the training provided staff with supervision techniques, and provided information regarding the importance of communicating and supporting staff to ensure they are providing a supervised, safe and caring environment for the children in care. The Director provided individual training with staff, the director read and provided 101229 Responsibility for providing care and supervision regulation to each staff member. The director implemented a daily attendance sheet for staff members to use on a daily basis to keep track of all children present for the day. Each staff member communicates with one another the total head count of children present and informs the Assistant Director and Director. The director stated staff communicates the head count with staff during transitions from inside to outside activities. Each staff member conducts a head count of the children while they are outside prior to transitioning indoors. The staff will confirm the count verbally and with the daily attendance sheet. When staff members and children are indoors, staff will conduct a head count of the children and confirm with one another the count before closing the classroom door. Director stated a staff member is always at the open doorway to confirm the head count before closing the door to ensure supervision of children in care.

In the areas that were evaluated, No deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.



An exit interview conducted, and report was reviewed with the Director, Amy Diaz. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) 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.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
LIC809 (FAS) - (06/04)
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