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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371171
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:16:17 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
02/12/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240212134140
FACILITY NAME:VILLAGE PRESCHOOL ACADEMYFACILITY NUMBER:
304371171
ADMINISTRATOR:VILLANUEVA DIAZ, KARENFACILITY TYPE:
830
ADDRESS:18052 IMPERIAL HWYTELEPHONE:
(714) 993-3444
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:14CENSUS: 9DATE:
04/18/2024
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Director Karen Villanueva-DiazTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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9
Staff handled child in a rough manner
Staff do not keep the facility clean and sanitary
Staff are providing care and supervision to children prior to receiving a fingerprint clearance
INVESTIGATION FINDINGS:
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On 4/18/2024, at 1:20pm Licensing Program Analyst (LPA), Anna Chan conducted an unannounced Complaint investigation inspection. The purpose of the investigation is to deliver findings from a complaint initiated on 2/15/2024. Upon arrival, LPA met Director, Karen Villanueva-Diaz and was led on a walkthrough of the facility. Director was informed of the purpose of the visit. Census was taken. LPA observed 4 staff and 9 nfant children.

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance. Based on record reviews on 02/15/24 one staff was started employment prior to receiving criminal record clearance.

Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
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 9
Control Number 06-CC-20240212134140
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: VILLAGE PRESCHOOL ACADEMY
FACILITY NUMBER: 304371171
VISIT DATE: 04/18/2024
NARRATIVE
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The Department received a Complaint on 2/12/2024 alleging (1) Staff handled child in a rough manner (2) Staff do not keep the facility clean and sanitary. (3) Staff are providing care and supervision to children prior to receiving a fingerprint clearance.

On 2/15/2024, LPA interviewed six (6) staff at the facility. Four (4) out of six (6) staff stated they have witnessed Staff #1 (S1) handle children in a rough manner. 4 Staff witnessed S1 grab and push a child down during diaper change and the child would start crying. On 2/15/24, All 6 staff stated that the carpet in the infant room needs cleaning and maintenance. 5 Staff stated that dust and dirt sticks to children’s skin and clothes. LPA was shown photos of infants with dust and dirt on their skin and clothing after crawling on the carpeted floor. See LIC9099D for 2 Type B deficiencies cited.

Based on records reviewed and interview, one (1) staff, Staff 2 (S2) started employment in the facility before receiving criminal record clearance. S2 started employment at the facility in July 31, 2023 and Criminal Record Clearance shows S2 was eligible in August 25, 2023. See LIC9099D for 1 Type A deficiency cited.

On 3/11/2024, LPA called 10 parents. LPA reached four (4) parents. None of the parents interviewed disclosed any information that could support the allegations.

Based on interviews conducted, records reviewed and observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. A substantiated finding means that the complaint is substantiated, and the allegations are valid because the preponderance of the evidence standard has been met. See LIC9099D for 1 Type A and 2 Type B deficiencies cited and Civil penalty is assessed for the Type A violation.

LPA Chan informed Director Karen Villanueva-Diaz, that this report dated 04/18/2024 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director to provide a copy of this licensing report dated 04/18/2024 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.



Page 2 of 3
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 9
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
02/12/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240212134140

FACILITY NAME:VILLAGE PRESCHOOL ACADEMYFACILITY NUMBER:
304371171
ADMINISTRATOR:VILLANUEVA DIAZ, KARENFACILITY TYPE:
830
ADDRESS:18052 IMPERIAL HWYTELEPHONE:
(714) 993-3444
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:14CENSUS: 9DATE:
04/18/2024
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Director Karen Villanueva-DiazTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff spoke inappropriately to children in care
Staff are not adequately trained to meet the needs of children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
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9
10
11
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13
On 4/18/2024, at 1:20pm Licensing Program Analyst (LPA), Anna Chan conducted an unannounced Complaint investigation inspection. The purpose of the investigation is to deliver findings from a complaint initiated on 2/15/2024. Upon arrival, LPA met Director Karen Villanueva-Diaz and was led on a walkthrough of the facility. Director was informed of the purpose of the visit. Census was taken. LPA observed five four (4) staff and nine (9) infant children.

A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 9
Control Number 06-CC-20240212134140
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: VILLAGE PRESCHOOL ACADEMY
FACILITY NUMBER: 304371171
VISIT DATE: 04/18/2024
NARRATIVE
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The Department received a Complaint on 2/12/2024 alleging (1) Staff are not adequately trained to meet the needs of children in care and (2) Staff spoke inappropriately to children in care.

On 2/15/24, four (4) staff stated they were trained on diaper changing and sanitizing toys. None of the staff interviewed disclosed any information that could support the allegation about a staff using inappropriate language to children.

Based on records reviewed there were five (5) staff training throughout 2023 with various topics like: Personal Rights, Infant Room Training, Workplace Safety and Supervision. Training were documented and signed by facility staff.

On 3/11/2024, LPA called 10 parents. LPA reached four (4) parents. None of the parents interviewed disclosed any information that could support the allegations.

Based on interviews conducted and records reviewed, although the allegation may or may not have happened, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED.

Exit interview was conducted with Director, Karen Villanueva-Diaz is this the director’s name? Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The Director was provided with a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

Page 2 of 2

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 9
Control Number 06-CC-20240212134140
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: VILLAGE PRESCHOOL ACADEMY
FACILITY NUMBER: 304371171
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/19/2024
Section Cited
HSC
1596.871(c)(1)(A)
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Administration of Child Day Care Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification,…State Department of Social Services prior to employment, residence, or initial presence in the facility..
This requirement is not met as evidenced by:
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Director stated the facility has implemented a process to verify that staff has been cleared prior to initial presence at the facility. A written statement will be provided to LPA by due date of 4/19/24.
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Based on observation and record review, the licensee did not comply with the section cited above in 1 of 6 staff were employed prior to receiving criminal record clearance, Elizabeth Casillas started in July 31, 2023 and received clearance status August 25, 2023, which poses an immediate health, safety or personal rights risk to persons 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: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 9
Control Number 06-CC-20240212134140
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: VILLAGE PRESCHOOL ACADEMY
FACILITY NUMBER: 304371171
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2024
Section Cited
CCR
101223(a)(3)
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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... mental abuse or other actions of a punitive nature including but not limited to: ...
This requirement has not been met as evidenced by
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Director stated the facility has done Personal Rights training to staff. In April 2024 staff training was done about Key to Communication. Director provided a copy of staff training with signature to LPA by due date 4/30/24
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Based on interviews, 4 sfaff stated they witnessed staff #1 handled children in a rough manner

This poses a potential health, safety or personal rights risk to persons in care.

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Type B
04/30/2024
Section Cited
CCR
101438.1(c)(2)
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Infant Care General Sanitation
(c) Washing, cleaning and sanitizing requirements... (2) Carpeted floors...shall be vacuumed at least daily and cleaned at least every six months, or more often if necessary.
This requirement has not been met as evidenced by
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Director stated that a work order to clean the carpet was requested in December 2023. Director stated that the infant carpet is vacuumed daily and sanitized toys daily. A written statement proving that the carpet was cleaned will be provided by the director to LPA by due date of 4/30/24
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Based on interviews, 6 staff stated that the carpet in the infant room needs cleaning. LPA were shown photos of infant having dust and particle all over their legs after crawling the carpeted floor
This poses a potential health, safety or personal rights risk to persons 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: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 9
Control Number 06-CC-20240212134140
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: VILLAGE PRESCHOOL ACADEMY
FACILITY NUMBER: 304371171
VISIT DATE: 04/18/2024
NARRATIVE
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An exit interview was conducted with Director, Karen Villanueva-Diaz. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

Page 2 of 3

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 9 of 9