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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371219
Report Date: 05/30/2024
Date Signed: 05/30/2024 11:47:29 AM

Document Has Been Signed on 05/30/2024 11:47 AM - 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:LITTLE MINDS LEARNING CENTERFACILITY NUMBER:
304371219
ADMINISTRATOR/
DIRECTOR:		BURGOS, ANGELICAFACILITY TYPE:
830
ADDRESS:8760 CERRITOS AVETELEPHONE:
(714) 699-1111
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
05/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Director Amanda GonzalezTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
NARRATIVE
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On 05/30/24 Licensing Program Analyst (LPA) Anna Chan conducted a case management deficiency report. LPA met with Director Amanda Gonzalez and informed the Director of the purpose of the visit. During today's visit, a tour of the facility was conducted. The overall census observed was 8 infant and 2 staff.

During a case management visit on 05/23/24, LPA observed one infant staff going out of the infant room to open the front door lobby. The infant room is about 15 steps to the left from the lobby entrance door. This happened twice around 11:10am and then another time, the same staff went to the kitchen leaving 8 infants with one staff in the infant room. 6 children were on the highchair doing activities while 2 infants were napping.

Director stated she will conduct a training with staff to ensure the situation will not happen again.

Based on observation and interview, the following deficiency was discussed and cited. The facility was not in compliance with the California Code of Regulations, Title 22, Division 12, 101229(a)(1) Responsibility for Providing Care and Supervision. Please refer to LIC809D for details of deficiency

Exit interview was conducted. Report and deficiency reviewed and discussed. Notice of Site Visit was posted during the visit. Director, Amanda Gonzalez 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. Appeal rights provided and explained. The Licensee 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.

End of Report

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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 05/30/2024 11:47 AM - It Cannot Be Edited


Created By: Anna Francesca Chan On 05/30/2024 at 10:47 AM
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: LITTLE MINDS LEARNING CENTER
FACILITY NUMBER: 304371219

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2024
Section Cited
CCR
101416.5(b)

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(b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met as evidenced by
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Director will provide LPA a documentation of staff-infant ratio training by due date 6/17/24
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Based on observation and interview conducted, it has been determined that 8 infants were left in the room with 1 staff.

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.
SUPERVISOR'S NAME:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2024


LIC809 (FAS) - (06/04)
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