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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371423
Report Date: 11/05/2021
Date Signed: 11/05/2021 03:09:25 PM

Document Has Been Signed on 11/05/2021 03:09 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:CORTEZ,GLORIETTEFACILITY TYPE:
850
ADDRESS:18633 YORBA LINDA BLVD.TELEPHONE:
(714) 660-6111
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 36DATE:
11/05/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Gloriette Cortez, DirectorTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Mila Quinto conducted a follow up case management -incident inspection initiated on 9/14/21. This is regarding the UIR -Self Reported on 9/7/21. LPA met with director, Gloriette Cortez. The Covid-19 Emergency Response questionnaire was reviewed and answered by the director. LPA toured the facility with the director. Census was taken. There was a total of 36 preschool children and 6 staff in different classrooms.

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

The incident reported on 9/14/21 that the facility received an email from a parent regarding an alleged inappropriate behavior by a daycare child towards another daycare child. During the inspection of the incident, LPA interviewed 4 staff members including the director. The director stated the facility received an email from a parent stating a child saw another child with their pants down. The director was not aware of this incident as the child did not disclose this to any of the staff. The director stated the incident may have taken place in the afternoon during nap time and bathroom breaks while the child was using the restroom and the other child may have glanced towards the child’s direction shortly after using the restroom and saw the child’s pants were down. The 3 staff interviewed were not aware when and where the incident took place as they did not witness the inappropriate behavior of the child. LPA called 12 parents and left a message of which LPA received a call back from 4 parents. LPA conducted a phone interview with the 4 parents including the parents who sent the email. The 2 parents stated when their child disclosed seeing a child with their pants down, their initial reaction was to immediately send the email to the school. There was no additional disclosure from their child of the incident. The parents did not have further concern of the incident as they do not believe the child intentionally exposed himself to their child. There were no disclosures made from the 2 of the 4 parents interviewed. On 11/5/21, LPA interviewed 5 children, there was no disclosure of the children interviewed who saw or witnessed a child with their pants down.

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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 LINDA
FACILITY NUMBER: 304371423
VISIT DATE: 11/05/2021
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During the inspection on 9/14/21 and 11/5/21, LPA observed staff were providing thorough care and supervision to the children in care. On 9/14/21, LPA requested for a sample video footage of which director email to LPA on 9/15/21. After reviewing the video footage dated 9/7/21, LPA observed the staff positions in the playground area ensures appropriate supervision.

Based on the information obtained by LPA Quinto’s interviews with 4 parents including the child’s parents, 4 staff members and 5 children, a citation is not being issued as the preponderance of the evidence standard has been met.

LPA conducted an Exit Interview with director, Glorriette Cortez. The report was read reviewed and discussed director. Appeal Rights were also explained, a Copy of Appeal Rights were provided and signature on this form acknowledges receipt of these rights. Director was informed all appeals must be in writing and received by the Regional Office within 15 business days. Notice of Site Visit was provided and posted by Director. Director was informed the Notice of Site Visit must be posted for 30 consecutive days and failure to post will result in a Civil Penalty of $100.00.

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC809 (FAS) - (06/04)
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