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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371436
Report Date: 04/03/2024
Date Signed: 04/03/2024 06:17:05 PM

Document Has Been Signed on 04/03/2024 06:17 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:PEACOCKS EARLY LEARNING CENTREFACILITY NUMBER:
304371436
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		KHANNIA OKFACILITY TYPE:
850
ADDRESS:19901 YORBA LINDA BLVD.TELEPHONE:
(714) 970-2311
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 47DATE:
04/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
03:40 PM
MET WITH:Director Khannia OkTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
06:35 PM
NARRATIVE
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On 4/3/24, at 3:40pm, Licensing Program Analyst (LPA) Anna Chan and Licensing Program Manager (LPM) Martha Malane conducted a Plan of Correction (POC) inspection in response to a Type A violation issued on 03/27/24, 101238(e)(1) Buildings and Grounds.

LPA and LPM met with Director Khannia Ok. Current census observed was 47 children and 7 staff. At 4:40pm Nitin Bhatia from facility management arrived at the facility.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. 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.

The areas cited were re-inspected and found not corrected. The 2 pool gates do not self-close and do not self-latch. The hot tub gate needs to be swinging away from the tub and needs to be self-latching and self-closing.

In the areas that were evaluated, a Type A deficiency was observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. 101238(e)(1) Buildings and Grounds. See LIC 809D for deficiency. A civil penalty was assessed today due to failure to correct deficiency previously cited on 03/27/2024.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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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Document Has Been Signed on 04/03/2024 06:17 PM - It Cannot Be Edited


Created By: Anna Francesca Chan On 04/03/2024 at 05:34 PM
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: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/04/2024
Section Cited
CCR
101238(e)(1)

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(e) All licensees shall ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground),...(1) In addition to meeting all of the aforementioned requirements for fences, gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate.
This requirement is not met as evidenced by:
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Director stated that the facility maintenance, Nitin Bhatia will fix the gates within 24 hours to ensure the gates swing away from the pool and the hot tub, and the gates are self-latching and self-closing. Director stated she will send a video proof of correction by due date of 4/4/24.
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Based on observations, the in-ground swimming pool gates do not self-close and do not self-latch and the hot tub gate do not swing away from the pool.

This poses as an immediate 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.
SUPERVISOR'S NAME:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: PEACOCKS EARLY LEARNING CENTRE
FACILITY NUMBER: 304371436
VISIT DATE: 04/03/2024
NARRATIVE
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LPA Chan informed Director Khannia Ok, that this report dated 04/03/2024 documents a Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director to provide a copy of this licensing report dated 04/03/2024 that documents any Type A citation 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 conducted and report was reviewed with the director Khannia Ok. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained. The director was provided a copy of appeal rights (LIC 9058 01/16) All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.

Director refused to sign this report

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

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
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