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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371500
Report Date: 06/11/2024
Date Signed: 06/11/2024 12:25:36 PM

Document Has Been Signed on 06/11/2024 12:25 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KIDDIE ACADEMY OF MISSION VIEJOFACILITY NUMBER:
304371500
ADMINISTRATOR/
DIRECTOR:		CHRISTINA NAFFZIGERFACILITY TYPE:
830
ADDRESS:25521 MUIRLANDS BLVD.TELEPHONE:
(949) 380-6868
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 20TOTAL ENROLLED CHILDREN: 27CENSUS: 9DATE:
06/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Christina NaffzigerTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dean Thompson conducted a case management inspection, in conjunction with another inspection at the facility. LPA met with Director Christina Naffziger and toured the facility. Census was taken and LPA observed a total of 9 infant age children with 2 infant staff inside classroom 112 at 8:30 a.m. Per Title 22, Division 12 Section 101416.5(b) Staff-Infant Ratio, there shall be a ratio of one teacher for every four infants in attendance.

Based on LPA's observations of two (2) staff supervising nine (9) infant age children on todays date, the facility is in violation and will be cited for one Type A 101416.5(b) Staff-Infant Ratio as this poses an immediately health and safety risk to children in care. See deficiency observed and cited on LIC 809D.



LPA Thompson informed Director Christina Naffziger that this report dated 6/11/2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Thompson informed the licensee Director Christina Naffziger to provide a copy of this licensing report dated 6/11/2024 that documents any Type A citation(s) 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 Director Christina Naffziger. 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 discussed. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
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 06/11/2024 12:25 PM - It Cannot Be Edited


Created By: Dean Thompson On 06/11/2024 at 11:48 AM
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: 304371500

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2024
Section Cited
CCR
101416.5(b)

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101416.5 Staff-Infant Ratio (b)There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met by:
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LPA observed facility get back into ratio during visit.
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 LPA observed a total of 9 infant age children with 2 infant staff inside classroom 112 at 8:30 a.m.
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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:Judy Hanson
LICENSING EVALUATOR NAME:Dean Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 06/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/11/2024


LIC809 (FAS) - (06/04)
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