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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370986
Report Date: 02/03/2025
Date Signed: 02/03/2025 12:39:14 PM

Document Has Been Signed on 02/03/2025 12:39 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:KIDDIE ACADEMY OF HUNTINGTON BEACHFACILITY NUMBER:
304370986
ADMINISTRATOR/
DIRECTOR:		NICOLE CARREONFACILITY TYPE:
830
ADDRESS:19342 BEACH BLVD.TELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY: 44TOTAL ENROLLED CHILDREN: 37CENSUS: 13DATE:
02/03/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:56 AM
MET WITH:Director-Nicole, CarreonTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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On 2/03/2025 Licensing program analyst (LPA) Karen Navar conducted a case management visit due to deficiencies observed during a complaint investigation on 2/03/25. LPA met with Director, Nicole Carreon during the inspection. At 9:25AM, LPA Navar observed 1 staff member (S1) providing care for 5 infants in the Infant classroom. S1 stated they need to call for back up. At 9:30AM Staff 2 (S2) arrived and census was taken 6 Infants and 2 staff. (S1-S2).

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.

Based on LPA's observations and interview the facility was operating out of ratio.Therefore, in the areas that were inspected, one Type A deficiency was observed of the California Code of Regulations, Title 22, Division 12 101416.5 Staff-Infant Ratio at the time of the visit. See attached LIC809D.



LPA Navar informed Director Nicole Carreon that this report dated 02/03/25 documents one Type A citation and will need to be provided to parent/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted with Director Nicole Carreon. LPA gave a copy of Title 22 Regulation 101416.5 Staff-Infant Ratio to director. The Notice of Site Visit was posted for no less than 30 consecutive days. Appeal Rights were explained.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2025
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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Document Has Been Signed on 02/03/2025 12:39 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Karen Navar On 02/03/2025 at 12:21 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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370986

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
02/04/2025
Section Cited
CCR
101416.5(b)

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101416.5(b) Staff-Infant Ratio (b)There shall be a ratio of one teacher for every four infants in attendance.


This evidence has not been met by:
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On 2/3/25 S2 arrived for support at 9:30AM and Director stated they will go over Infant-Staff Ratio and email a copy of agenda to LPA by 2/4/25 with staff signatures.
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Based on observation and interview: At 9:25AM, LPA Navar observed 1 staff member (S1) providing care for 5 infants in the Infant classroom. S1 stated they need to call for back up.
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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.
SUPERVISOR'S NAME:Thuy Ho
LICENSING EVALUATOR NAME:Karen Navar
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2025


LIC809 (FAS) - (06/04)
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