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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371423
Report Date: 08/22/2025
Date Signed: 08/22/2025 10:24:34 AM

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
06/10/2025 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250610094847

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:120CENSUS: 32DATE:
08/22/2025
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Director Gloriette CortezTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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lack of supervision/observation causing injuries to children in care.
Reporting Requirement/Hand Foot Mouth.
INVESTIGATION FINDINGS:
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On 8/22/2025, at 8:35AM Licensing Program Analyst (LPA) Anna Chan conducted an unannounced Complaint investigation inspection. This to deliver findings of the investigation initiated on 6/13/2025. Upon arrival, the LPA met with Assistant Director Ruth Gutierrez. LPA informed the Assistant Director of the purpose of visit Census was taken. LPA observed 32 preschool children and 6 staff. Director Gloriette Cortez arrived to continue with the visit.

The Department received a complaint on 6/10/2025 alleging (1) lack of supervision/observation causing injuries to children in care (2) Reporting Requirement/Hand Foot Mouth.

Allegation one (1) Based on video footage review from facility, child 1 (C1) was sitting next to a bookshelf and child 2 (C2) walked next to C1. C2 started throwing books on the bookshelf and at the wall. No staff were with the children when C2 threw a book that bounced back and hit C1 on the face. This resulted in a scratch on C1’s face. C1 started to cry, and staff walked to C1, and staff went to check the incident.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 06-CC-20250610094847
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: KIDDIE ACADEMY OF YORBA LINDA
FACILITY NUMBER: 304371423
VISIT DATE: 08/22/2025
NARRATIVE
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Based on staff interviews, staff stated they did not witness the incident about C2 scratching C1 on the face and just responded to C1 when C1 started to cry. Staff stated they had written the incident report but did not witness what happened. None of the staff interviewed observed or witnessed the incident.

Based on interviews and records reviewed, the facility falsely notified the child’s representative of the injury that C1 incurred. The facility provided inaccurate information on the injury report.

Allegation two (2) Based on staff interview, Staff stated there have been cases of Hand Foot and Mouth (HFM) in their classrooms 2 weeks prior to LPA’s initial visit on 6/13/25.

Based on records reviewed, on 5/27/25 a child representative informed the facility that their child has HFM. 2 child representatives notified the facility on 6/2/25 that their children had HFM. On 6/5/25, another child was confirmed to have HFM. However, there was no documentation of the facility notifying the children representatives of the outbreak prior to 6/9/25.

Section 101212(f) of California Code of Regulation Title 22 states that an outbreak should be reported to child's authorized representatives.

None of the parents interviewed disclosed any information that supported the allegations.

Based on interview and records reviewed, (1) The facility did not prevent children from getting injuries. None of the staff observed or witnessed the incident when a C2 was throwing books at the wall and hit C1 on the face (2) The facility did not follow reporting requirement in reporting an outbreak; 4 cases of HFM.

According to California Code of Regulations Title 22, the preponderance of evidence standard has been met, therefore the above allegations were found to be SUBSTANTIATED. See LIC9099D for two (2) Type B deficiency cited.

An exit interview was conducted and report and deficiencies were reviewed and discussed with Director, Gloriette Cortez. The Notice of Site Visit was posted and must remain posted for 30 consecutive days. Appeal rights were provided.

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

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20250610094847
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: KIDDIE ACADEMY OF YORBA LINDA
FACILITY NUMBER: 304371423
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/22/2025
Section Cited
CCR
101226.3(a)
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101226.3 Observation of the Child
(a) The behavior and health of the children shall be continually observed throughout the period of attendance.
This requirement was not met as evidenced by:
Based on interview and records
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Director stated they will provide a statement to LPA how to prevent this situation from happening again. A training will be conducted with the staff regarding supervision and observation. Statemen and training signed by staff will be provided by the due date of 9/22/25.
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reviewed, (1) The facility did not prevent children from getting injuries. None of the staff observed or witnessed the incident when a C2 was throwing books at the wall and hit C1 on the face.
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Deficiency Dismissed
Type B
09/22/2025
Section Cited
CCR
101212(f)
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Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.This requirement was not met as evidenced by:Based on staff interviews and record reviews, The facility did not follow
reporting requiremenst on outbreaks;
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Director stated they will provide a statement to LPA how to prevent this situation from happening again. Statement will be provided to LPA by the due date of 9/22/25
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Total 4 cases of HFM occured prior to reporting to the Department; 1 on 5/27/25, 2 on 6/2/25 and 1 on 6/5/25. However there are no documentation of the facility notifying the children representatives of the outbreak This poses a potential risk to health and safety of 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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC9099 (FAS) - (06/04)
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