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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371225
Report Date: 01/13/2025
Date Signed: 01/13/2025 12:32:10 PM

Document Has Been Signed on 01/13/2025 12:32 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 SANTA ANAFACILITY NUMBER:
304371225
ADMINISTRATOR/
DIRECTOR:		SOLORIO, ALANNAHFACILITY TYPE:
830
ADDRESS:1345 NORTH GRAND AVENUETELEPHONE:
(714) 599-1783
CITY:SANTA ANASTATE: CAZIP CODE:
92701
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 14DATE:
01/13/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:01 AM
MET WITH:Director, Elaine Estrada TIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analysts (LPA) Aiddee Nunez conducted an unannounced case management visit due to deficiencies observed while reviewing classroom video footage from the infant’s classroom. Upon arrival, LPA met with Director Elaina Estrada. Census was taken and observed a total of 7 infant age children and 4 staff members in the infant room. In the toddler option program there were 7 toddler age children and 2 staff members.

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. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

On 1/6/2025, LPA reviewed 37 video footage clips from the infant’s classroom for the months of September 2024 and October 2024.

On 9/17/2024 at 11:31am LPA observed Child#1 (C1) on the classroom floor mat with a sleepsuit and Staff#1 (S1) was observed patting on C1’s chest so C1 can fall asleep. C1 falls asleep at 11:34am. C1 was not put in the crib. C1 woke up at 12:15pm and S1 pats on C1 so C1 could falls asleep again. At 12:01pm Staff#2(S2) was observed putting a sleepsuit to Child#2(C2). C2 was on the classroom floor mat and S2 was observed patting on C2 chest so C2 could fall asleep. C2 fell asleep at 12:21pm and was not put in the crib. There were 3 staff members present and 6 infants in the classroom.

On 9/19/2024 at 1:00pm Staff#3 (S3) was observed putting a sleepsuit on Child#2 (C2). C2 was on the classroom floor mat and S3 was observed patting on C2 so C2 could fall asleep. C2 fell asleep at 1:15pm on the classroom floor mat with a pacifier that has a stuff animal attached to the pacifier. C2 was on the floor mat asleep with the pacifier that had an attached stuff animal until the video ends at 3:02pm. C2 was not put in the crib. There were 3 staff members present and 7 infants in the classroom.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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 SANTA ANA
FACILITY NUMBER: 304371225
VISIT DATE: 01/13/2025
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On 9/23/2024 at 11:32am S1 was observed carrying Child#3 (C3) in the arms and placing C3 that is asleep on the butterfly soft playing structure mat and S1 was then observed walking away. C3 was asleep until the video ends at 11:43am and C3 was not put in the crib. There were 3 staff members presents and 5 infants in the classroom.

Based on the information gathered from the video footage clips the following deficiencies were cited. The facility was not in compliance of the California Code of Regulations, Title 22, Division 12, Sections 101430(a)(3)(E) Infant Care Activities and 101439.1(a)(1)(A) Infant Care Center Sleeping Equipment. Please refer to 809D for details of deficiency.

LPA informed the Director that this report dated 1/13/2025 document a Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed the Director to provide a copy of this licensing report dated 1/13/2025 that documents any Type A citation(s) 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 was conducted with Director, Elaina Estrada. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. The Director was provided with a copy of their appeal rights (LIC 9058) 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.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/13/2025 12:32 PM - It Cannot Be Edited


Created By: Aiddee Nunez On 01/13/2025 at 11:11 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: KIDDIE ACADEMY OF SANTA ANA
FACILITY NUMBER: 304371225

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2025
Section Cited
CCR
101430(a)(3)(E)

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101430 Infant Care Activities (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
This requirement is not met as evidence by:
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Per director, they will do safe sleep training again. The director will provide a written statement and signatures of the staff that attended the training. The director will email the proof by the POC due date.
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Based on video footage clips, the infants were observed not being put in the cribs once the infants were asleep. The infants were observed sleeping in the classroom mats. This is an immediate risk to the safety of the children in care.
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Type B
01/27/2025
Section Cited
CCR101439.1(a)(1)(A)

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101439.1 Infant Care Center Sleeping Equipment (1) Pacifiers shall be allowed in the crib if the following provisions are in place: (A) There shall not be anything attached to the pacifier.
This requirement is not met as evidence by:
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Per director, they will do safe sleep training again. The director will provide a written statement and signatures of the staff that attended the training. The director will email the proof by the POC due date.
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Based on video footage clips, an infant was observed sleeping with a pacifier that had an attached stuff animal on the pacifier. This is a potential risk to the safety of the 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.
SUPERVISOR'S NAME:Thuy Ho
LICENSING EVALUATOR NAME:Aiddee Nunez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2025


LIC809 (FAS) - (06/04)
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