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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370987
Report Date: 02/06/2025
Date Signed: 02/06/2025 04:38:21 PM

Document Has Been Signed on 02/06/2025 04:38 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:
304370987
ADMINISTRATOR/
DIRECTOR:		CARREON, NICOLEFACILITY TYPE:
850
ADDRESS:19342 BEACH BLVDTELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY: 124TOTAL ENROLLED CHILDREN: 93CENSUS: 60DATE:
02/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:16 PM
MET WITH:Director-Nicole CarreonTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
NARRATIVE
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On 2/06/2025 Licensing Program Analysts (LPAs) Karen Navar and Susan Deschampe conducted a Case Management Inspection to investigate previous deficiency which was cited during an investigation dated 2/03/2025. LPA Duron informed the director of the purpose of the visit. LPA met with Director, Nicole Carreon. LPA observed 31 infants and 9 staff, 60 preschool children with 5 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 2/03/2024 facility was cited, California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101223(a)(3) Personal Rights(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidationt…Based on records review and staff interviews, LPA observed video footage and Unusual Incident Report (UIR) of S14 forcibly laying C2 on cot. 2 (two) staff interviews stated S14 forcibly laid C2 on their cot. Type A citation was given.

LPAs Navar and Deschampe conducted this inspection to review facility’s procedures to ensure facility is following California Code of Regulations, Title 22 Regulations, Division 12. During inspection LPA took census and observed children’s files for LIC9224 Acknowledging Licensing Reports. LPAs observed 6 LIC9224 forms had been signed since 2/03/2025.

Based on LPAs record reviews the following violation was observed in accordance with California Code of Regulations, Health and Safety Code-HSC, Section 1596.8595(c)(1), is being cited on the attached LIC 809D. Continue to page 2.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 02/06/2025
NARRATIVE
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Exit interview was conducted with Director Nicole Carreon. LPAs reviewed HSC1596.8595 Posting licensing report by childcare facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services. 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.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/06/2025 04:38 PM - It Cannot Be Edited


Created By: Karen Navar On 02/06/2025 at 04:22 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: 304370987

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2025
Section Cited
HSC
1596.8595(c)(1)

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1596.8595(c)(1)A licensed child daycare facility shall provide to the parent guardians of each child receiveing sevices in the facility copies of any licnesing report that documents a citation...

This evidence is not met by:
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Director will email a copy of LIC9224 signed by parents to LPA by 2/7/25.
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Based on reecords review on 2/06/25 LPAs observed 6 LIC9224 forms out of 93 enrolled children have been signed by parents since 2/03/2025.
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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: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
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