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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371423
Report Date: 04/26/2021
Date Signed: 04/26/2021 02:54:49 PM

Document Has Been Signed on 04/26/2021 02:54 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KIDDIE ACADEMY OF YORBA LINDAFACILITY NUMBER:
304371423
ADMINISTRATOR:DESAI, VANDNAFACILITY TYPE:
850
ADDRESS:18633 YORBA LINDA BLVD.TELEPHONE:
(714) 660-6111
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 23DATE:
04/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gloriette Cortez, DirectorTIME COMPLETED:
02:30 PM
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***Tele-Inspection***

Licensing Program Analyst (LPA) Mila Quinto conducted a case management visit on 4/26/2021 due to an Unusual Incident Report (UIR) received regarding personal rights in the Regional Office on 4/20/2021 by Director Gloriette Cortez. A virtual tour was conducted by the director and present were 23 children and 5 staff members. The Covid-19 Emergency Response questionnaires were asked.



A review of facility Personnel Report Summary on this date (4/26/21) indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the tele-inspection, LPA discussed the unusual incident report with director regarding the alleged disclosure of staff member hit the child. On 4/26/21, 2 staff members were interviewed and described the child as well mannered, observant, quiet and likes to repeat what teachers say. The child did not have any behavioral issues and they were surprised on the child’s disclosure of staff had allegedly hit the child. Other parties involved were also interviewed and indicated they do not believe the child was hit by a staff member and stated the child had limited vocabulary.

Based on the interviews conducted, there is not a preponderance of evidence to support the child's disclosure. Therefore, no further action.

Exit interview was conducted, Report was read, and Appeal Rights were explained. A copy of the report along with Appeal Rights will be emailed to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt.”

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2021
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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