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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371424
Report Date: 01/23/2025
Date Signed: 01/23/2025 10:25:56 AM

Document Has Been Signed on 01/23/2025 10:25 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:KIDDIE ACADEMY OF YORBA LINDAFACILITY NUMBER:
304371424
ADMINISTRATOR/
DIRECTOR:
CORTEZ, GLORIETTEFACILITY TYPE:
830
ADDRESS:18633 YORBA LINDA BLVD.TELEPHONE:
(714) 660-6111
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 25DATE:
01/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Director Gloriette CortezTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 01/23/25, A case management incident inspection was conducted today by Licensing Program Analyst (LPA) Anna Chan who met with Director, Gloriette Cortez. Upon arrival census was taken in individual classrooms, there were 25 infant children and 9 staff doing indoor activities.

A self-reported incident by the facility was received at the regional office on 01/21/2025, which stated that on 01/17/25, a child bumped their forehead on the floor while staff was scooting the chair forward.

LPA interviewed 3 staff, gathered documents such as ouch report, photo, staff training dated 1/21/25

No deficiencies cited during this visit.



If any deficiencies are observed, disclosed or discovered, they will be addressed and cited at a later date.

Exit interview was conducted with Director, Gloriette Cortez. The Notice of Site Visit was posted. Director 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 was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledge receipt of these rights. The first level appeal is to Regional Manager, address is above on the report.

End of Report

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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