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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370987
Report Date: 05/28/2025
Date Signed: 05/28/2025 03:56:27 PM

Substantiated


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
05/09/2025 and conducted by Evaluator Sarah Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250509104807
FACILITY NAME:KIDDIE ACADEMY OF HUNTINGTON BEACHFACILITY NUMBER:
304370987
ADMINISTRATOR:CARREON, NICOLEFACILITY TYPE:
850
ADDRESS:19342 BEACH BLVDTELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:124CENSUS: 80DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Infant Director, Loretta Munoz and Director, Nicole CarreonTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff did not provide parent with incident report.
Due to a lack of supervision/observation daycare child was injured while in care.

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INVESTIGATION FINDINGS:
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On 5/28/2025 at 1:40pm, Licensing Program Analyst (LPA) Sarah Garcia conducted an unannounced initial complaint investigation at the facility. LPA met with director, Loretta Munoz, who led the LPAs on a tour of the facility, and a census was taken. LPA observed the facility during nap time and total census was 80 preschool children and 7 staff members. The facility was operating within compliance with staff-child ratios and licensed capacity. LPA informed the director for the purpose of the visit.

An on-site review of the Facility Personnel Report Summary on this date 5/28/2025 indicates all present facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 05/09/2025 alleging staff did not provide parent with incident report and due to a lack of supervision/observation daycare child was injured while in care.
Continued on Page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
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 7
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
05/09/2025 and conducted by Evaluator Sarah Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250509104807

FACILITY NAME:KIDDIE ACADEMY OF HUNTINGTON BEACHFACILITY NUMBER:
304370987
ADMINISTRATOR:CARREON, NICOLEFACILITY TYPE:
850
ADDRESS:19342 BEACH BLVDTELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:124CENSUS: 80DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Infant Director, Loretta Munoz and Director, Nicole CarreonTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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2
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9
Facility did not report incident in a timely manner.
Facility operates out of ratio.
INVESTIGATION FINDINGS:
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On 5/28/2025 at 1:40pm, Licensing Program Analyst (LPA) Sarah Garcia conducted an unannounced initial complaint investigation at the facility. LPA met with director, Loretta Munoz, who led the LPAs on a tour of the facility, and a census was taken. LPA observed the facility during nap time and total census was 80 preschool children and 7 staff members. The facility was operating within compliance with staff-child ratios and licensed capacity. LPA informed the director for the purpose of the visit.

An on-site review of the Facility Personnel Report Summary on this date 5/28/2025 indicates all present facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 05/09/2025 alleging facility did not report incident in a timely manner.
Continued on Page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20250509104807
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 05/28/2025
NARRATIVE
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Page 2

During the course of the investigation, an additional allegation alleging facility operates out of ratio was disclosed.

On 5/12/2025, LPA interviewed Reporting Party (RP) for further information.

During the investigation, LPA Garcia interviewed 9 staff, reporting party, 3 authorized representatives and obtained children's roster, parent handbook, daily attendance reports, name to face reports, "rollcall sheets", staff timecards, Child 1 (C1) identification form (LIC 700), incident report (LIC 624), and facility incident report.

Based on record review, the facility filed an incident report on 5/7/25 involving the C1 and the Department was notified via a self-reported incident (LIC 624) on 5/13/2025.

Throughout the investigation, LPA interviewed children’s authorized representatives. Representatives interviewed shared feedback regarding their enrollment experience, there was not evidence to corroborate the allegations.

Based on interviews and record review, the allegations that facility did not report incident in a timely manner and facility operates out of ratio are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted and report was reviewed with the Director, Nicole Carreon. No deficiencies cited. A notice of site visit was given and must remain posted for 30 days.


End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20250509104807
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 05/28/2025
NARRATIVE
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Page 2

On 5/12/2025, LPA interviewed Reporting Party (RP) for further information.

During the investigation, LPA Garcia interviewed 9 staff, reporting party, 3 authorized representatives and obtained children's roster, parent handbook, daily attendance reports, name to face reports, "rollcall sheets", staff timecards, Child 1 (C1) identification form (LIC 700), incident report (LIC 624), and facility incident report.

During staff interviews on 05/14/2025, All staff stated they report incidents via the app, or an incident report and the director is available to step into the classrooms as well. All staff stated they are constantly having visual and audio supervision of the children at all times. During outdoor playtime all staff stated there are designated zones, so children are adequately supervised. Multiple staff interviewed provided feedback on working at the facility, there is not enough evidence to corroborate allegations.

LPA interviewed staff present during the incident that occurred on 5/7/25. Staff 1 (S1) was outside with their class when Staff 2 (S2) was lining up to transition to outdoor time. S2 opened the door and Child 1 (C1) and another child were running toward the playground. C1 lost balance, landed on stomach, and hit head on the pole. The pole where C1 injured themselves is located at the foot of the playground. S2 stated they did not see anything because they were inside. S8 and S9 stated that the authorized representative of C1 was informed verbally but they left quickly so they did not receive incident report. On 5/7/25, authorized representative did not take C1 back to the classroom, so they did not get incident report.

Based on record review, the facility filed an incident report on 5/7/25 involving the C1 and the Department was notified via a self-reported incident (LIC 624) on 5/13/2025.

Throughout the investigation, LPA interviewed children’s authorized representatives. Authorized representatives provided feedback regarding enrollment experience, there is not evidence to corroborate allegations.

(continue to page 3)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 06-CC-20250509104807
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
VISIT DATE: 05/28/2025
NARRATIVE
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(Page 3)

Based on interviews, it has been determined staff did not provide parent with incident report and due to a lack of supervision/observation daycare child was injured while in care. Therefore, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1 Section are being cited on the attached LIC 9099D. LPA provided director with the Title 22 regulations 101226.3(a) Observation of the Child and 101218.1 Admission Procedures and Parental and Authorized Representative's Rights(a)(2)(B).

LPA Sarah Garcia informed director Nicole Carreon, that this report dated 05/28/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Sarah Garcia informed director, Nicole Carreon, to provide a copy of this licensing report dated 05/28/2025 that documents any Type A citation to parents/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 conducted and report was reviewed with the director, Nicole Carreon. A notice of site visit was given and must remain posted for 30 days.


End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 06-CC-20250509104807
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/29/2025
Section Cited
CCR
101226.3(a)
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101226.3 Observation of the Child (a) The behavior and health of the children shall be continually observed throughout the period of attendance.
This requirement was not met as evidenced by:
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Director will conduct an all-staff training addressing name-to-face transitions. Training agenda and staff declarations will be submitted to LPA via email sarah.garcia@dss.ca.gov by 5pm on 06/19/2025.
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Based on interviews and record review, Child 1 (C1) was not directly observed by Staff 2 (S2) resulting in child running, falling, and injuring their head which causes an immediate risk to health and safety of children in are.
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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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20250509104807
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: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370987
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2025
Section Cited
CCR
101219(f)
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101219 Admission Agreements(f) The licensee shall comply with all terms and conditions set forth in the admission agreement.

This requirement was not met as evidenced by:
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LPA had a discussion with director regarding admission agreement and following facility policies.
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Based on record review, the authorized representative of Child 1 (C1) was verbally infromed about incident that occurred on 5/7/25 and was not provided a incident report form to sign which poses a potential risk to children in care.
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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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 7