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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371499
Report Date: 10/28/2024
Date Signed: 10/28/2024 03:43:44 PM

Document Has Been Signed on 10/28/2024 03:43 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:KIDDIE ACADEMY OF MISSION VIEJOFACILITY NUMBER:
304371499
ADMINISTRATOR/
DIRECTOR:		CHRISTINA NAFFZIGERFACILITY TYPE:
850
ADDRESS:25521 MUIRLANDS BLVD.TELEPHONE:
(949) 380-6868
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 120TOTAL ENROLLED CHILDREN: 80CENSUS: 64DATE:
10/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Director Christina NaffzigerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On10/28/2024 at 1:45pm, Licensing Program Analysts (LPAs), Jung and Thompson conducted an unannounced case management-deficiency inspection. Upon arrival, LPAs met with Director, Christina Naffziger. LPAs disclosed the purpose of the inspection and was led on a tour of the facility. There were 63 preschool children, one (1) infant child, and seven (7) staff members present. Hours of operation are Monday through Friday 7:00am to 6:00pm.

During the facility tour, LPAs observed one (1) child who looked like an infant in one of the preschool nap rooms. Upon file review, LPAs were able to confirm that the child was under 24 months old.

Based on the information obtained and interviews conducted, one Type A citation for Limitations of Capacity is being cited on the LIC809D.

LPAs Jung and Thompson informed Director, Christina Naffziger that this report dated 10/28/2024 documents one (1) Type A citation. Type A citation shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Jung and Thompson informed the director to provide a copy of this licensing report dated 10/28/2024 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 with Director, Christina Naffziger. Notice of Site Visit (LIC9213) was provided and shall be posted for 30 days.
End of report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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 10/28/2024 03:43 PM - It Cannot Be Edited


Created By: Soo Jin Jung On 10/28/2024 at 02:49 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: KIDDIE ACADEMY OF MISSION VIEJO
FACILITY NUMBER: 304371499

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/28/2024
Section Cited
CCR
101161(a)

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101161(a) Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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Director moved the infant child back to infant license during LPAs' visit. Director stated that they will not move an infant to the preschool side without an exception from the department.
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in that, one (1) infant was comingling in the preschool, which poses an immediate health, safety or personal rights risk to persons 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:Soo Jin Jung
LICENSING EVALUATOR SIGNATURE:
DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
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