304371509-10-19-2023-06-CC-DTHN-CWRR8Q-20231019124820

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371509
Report Date: 10/19/2023
Date Signed: 10/19/2023 12:48:23 PM

Document Has Been Signed on 10/19/2023 12:48 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:	CHILDREN'S COURTYARD, THE		FACILITY NUMBER:	304371509
ADMINISTRATOR:	MILLER, MICHELLE		FACILITY TYPE:	850
ADDRESS:	27732 VISTA DEL LAGO		TELEPHONE:	(949) 297-8988
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92692
CAPACITY: 132	TOTAL ENROLLED CHILDREN: 79	CENSUS: 60	DATE:	10/19/2023
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Michelle Miller		TIME COMPLETED:	01:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Dean Thompson conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 10/18/2023. LPA met with Director Michelle Miller. LPA observed 60 preschool age children along with 9 staff. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. On 10/18/2023 a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported a child leaving the classroom, entering the office, then opening the front door and exiting the facility. During today’s visit, LPA interviewed three staff on 10/19/2023. Based on staff interviews, on 10/17/2023 there were two teachers present inside the TK-1/TK-2 classroom, staff #1 (S1) and staff #2 (S2). S1 was caring for 9 children and S2 was caring for 7 children when the incident occurred. Staff mentioned, the uncle (authorized to take C1 from the facility) of C1 entered the TK-1 classroom and walked over to C1 while S1 was caring for 9 children that were split between two tables as the children were coloring. While S1 was attending to children at the other table across from where C1 was sitting, the uncle of C1 exited the classroom leading into the front office, then exited the facility. The director and district manager who were stationed inside the office, observed the uncle standing near the stairs directly in front of the office approximately 5 to 10 feet away from the front door. Approximately 2-3 minutes after the uncle exited, director observed C1 open the office front door and meet the uncle outside near the front entrance. Continue to page 2

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHILDREN'S COURTYARD, THE	FACILITY NUMBER: 304371509
	VISIT DATE: 10/19/2023

NARRATIVE

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Based on the interviews conducted and documentation received, no deficiencies were cited.

Exit interview conducted and report was reviewed with Director Michelle Miller. 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: 10/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

LIC809 (FAS) - (06/04)

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