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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370815
Report Date: 12/09/2025
Date Signed: 12/09/2025 02:59:50 PM

Document Has Been Signed on 12/09/2025 02:59 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:KIDS KASTLE PRESCHOOLFACILITY NUMBER:
304370815
ADMINISTRATOR/
DIRECTOR:
CHANG, MARYFACILITY TYPE:
850
ADDRESS:2525 FAIRVIEW ROADTELEPHONE:
(714) 437-1720
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 30DATE:
12/09/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Facility Representative/Asst. Dir., Kristine FernandezTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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In conjunction with another inspection on 12/09/2025, Licensing Program Analyst (LPA) Deschampe conducted a case management inspection. At 9:03 AM, LPA entered the facility via an unlocked security gate. LPA met with Facility Representative/Assistant Director, Kristine Fernandez and explained the purpose of the visit. Total census was 30 children with 3 staff. A review of the Facility Personnel Report Summary on this date, 12/09/2025 indicates all facility staff and other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

California Code of Regulations (CCR) Section 101238 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. At 9:12 AM, LPA observed staff bathroom door open (accessible to children), with an air freshener spray on the paper towel dispenser (pictures taken). The FR removed the air freshener immediately and stored it in the office, inaccessible to children. This poses as a potential Health, Safety, or Personal Rights risk to persons in care.

CCR 101239 Fixtures, Furniture, Equipment and Supplies (a) A comfortable temperature for children shall be maintained at all times. (1) The licensee shall maintain the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C). At 9:55 AM, in the preschool 2 year old room, the temperature gauge displayed 64 degrees (pictures taken). The FR immediately turned on the heater to meet regulation. This poses as a potential Health, Safety, or Personal Rights risk to persons in care.



CCR Section 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. At 9:03 AM,
NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: KIDS KASTLE PRESCHOOL
FACILITY NUMBER: 304370815
VISIT DATE: 12/09/2025
NARRATIVE
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while LPA was walking toward the security gate a parent/authorized representative, carrying 1 infant and walking with another child entered the facility but the security gate did not latch. Approximately 15 seconds later, LPA arrived at the security gate which was not latched/locked/magnetized. LPA entered the facility without entering the security gate code. LPA informed the FR who immediately sent all parents/authorized representatives a text message via ProCare reminding the parents/authorized representatives to ensure the security gate is latched/locked/magnetized. The FR will contact maintenance in order to determine if there is a functional issue with the security gate, as well. This poses as a potential Health, Safety, or Personal Rights risk to persons in care if left unattended.

After the inspection, the following deficiencies were observed and are being cited on the attached LIC 809-D and LIC 9102 in accordance with California Code of Regulations (CCR) Title 22 Division 12 Chapter 3:

CCR Section 101238(g) Buildings and Grounds (LIC 809-D)

CCR Section 101238(a) Buildings and Grounds (LIC 9102)

CCR Section 101239(a) Fixtures, Furniture, Equipment and Supplies (LIC 809-D)

Exit interview conducted and report was reviewed with the facility representative/assistant director, Kristine Fernandez. Appeal Rights were discussed with facility representative. The facility representative was provided a copy of the 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. A notice of site visit was given and must remain posted for 30 consecutive days. The “Notice of Site Visit” must be posted on, or immediately adjacent to, the interior side of the main door to the facility. Failure to post will result in Civil Penalties of $100.00.

End of report.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/09/2025 02:59 PM - It Cannot Be Edited


Created By: Susan Deschampe On 12/09/2025 at 01:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KIDS KASTLE PRESCHOOL

FACILITY NUMBER: 304370815

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/09/2025
Section Cited
CCR
101238(g)

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Buildings & Grounds(g)...other items that could pose a danger if readily available to children shall be stored...inaccessible to children. This requirement is not met as evidenced by:
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FR moved air freshener to a location inaccessible to children.

FR to consistently meet regulation and keep all disinfectants, cleaning solutions, etc inccessible to children.
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LPA observation at 9:12 AM the staff bathroom door was open, air freshener spray on top of the paper towel dispenser (pictures taken).
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Type B
12/09/2025
Section Cited
CCR101239(a)(1)

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Fixtures, Furniture, Equipment & Supplies (a) A comfortable temperature...shall be maintained at all times.(1)...maintain the temperature in rooms...between a minimum of 68 degrees F... and a maximum of 85 degrees F. This requirement is not met as evidenced by:
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The FR immediately turned on the heater to meet regulation.

FR to consistently meet regulation and maintain a temperature of 68-85 degrees F in rooms that occupy children.
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At 9:55 AM, in the preschool 2 year old room, the temperature gauge displayed 64 degrees (pictures taken).
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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.
Thuy Ho
NAME OF LICENSING PROGRAM MANAGER:
Susan Deschampe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2025


LIC809 (FAS) - (06/04)
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