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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371512
Report Date: 06/15/2023
Date Signed: 06/15/2023 09:51:17 AM

Document Has Been Signed on 06/15/2023 09:51 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDREN'S COURTYARD, THEFACILITY NUMBER:
304371512
ADMINISTRATOR:JOHNSON, LAURA G.FACILITY TYPE:
850
ADDRESS:21772 LAKE FOREST DRIVETELEPHONE:
(949) 859-0805
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 141TOTAL ENROLLED CHILDREN: 58CENSUS: 11DATE:
06/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Laura JohnsonTIME COMPLETED:
10:10 AM
NARRATIVE
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Licensing Program Analyst (LPA) Dean Thompson conducted an unannounced case management incident inspection to follow up on the self-report Unusual Incident dated 5/5/2023. This is a continuation of the inspection initiated on 5/16/2023.

LPA met with Director Laura Johnson at 9:00 am. Census was taken today and there was a total of 11 preschool age children with a total of 2 preschool staff members. 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.



A self-report incident by the facility was received at the regional office on 5/5/23. The facility reported a parent called Orange County Sheriff’s Department to report an alleged physical contact (shaking) that occurred at Children's Courtyard between her child #1 (C1) and staff #1 (S1).

During this investigation, LPA interviewed 2 staff, obtained a copy of the children roster, reviewed S1 file, and retrieved the Orange County Sheriff’s incident report. From the interviews conducted it was discovered S1 was issued a written warning on 5/8/2023 by Children’s Courtyard for the incident that occurred on 5/5/2023 involving C1. The written warning description reads “The teacher did not handle a child who was not listening during classroom projects according to our positive behavior guidance policy.”

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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: 304371512
VISIT DATE: 06/15/2023
NARRATIVE
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On 5/15/2023, LPA received a flash drive containing video recordings of the incident involving S1 and C1. In the video, C1 is seen sitting on the children’s sofa inside the classroom away from other children. S1 walks over to C1, picks C1 up off the sofa, sits down, then positions C1 sideways onto the lap of S1. C1 was observed sliding down onto the floor from S1 lap. S1 picks C1 off the floor and positions C1 sideways onto the lap again. S1 is observed to be holding C1 so that C1 doesn’t move. While S1 is talking to C1, C1 hand swings towards S1. LPA then observed S1 grasp C1 arms while jiggling C1 in position to have face contact.

Based on the information gathered from the interviews conducted, records reviewed, and video recordings, It was determined that C1’s personal rights were violated by S1.



The facility was not in compliance of the California Code of Regulations, Title 22, Division 12. The following citation Personal Rights section 101223(a)(3) was issued today on the attached LIC 809D.

LPA Thompson informed Director Laura Johnson that this report dated 6/15/2023 document(s) one Type A citation 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 Director Laura Johnson to provide a copy of this licensing report dated 6/15/2023 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 the Director Laura Johnson. 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 and deficiencies were discussed. Director Laura Johnson 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: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/15/2023 09:51 AM - It Cannot Be Edited


Created By: Dean Thompson On 06/15/2023 at 08:32 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: CHILDREN'S COURTYARD, THE
FACILITY NUMBER: 304371512

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/15/2023
Section Cited
CCR
101223(a)(3)

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101223(a)(3) Personal Rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation…..
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Director stated they will conduct staff trainings on personal rights and S1 will have have three additional trainings on personal rights. Director will submit proof of trainings to LPA by POC due date.
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This requirement is not met as evidence by: Based on LPA’s observation on the video recording showing S1 grasp C1 arms while jiggling C1 and documents inisde S1 file.
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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: 06/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2023


LIC809 (FAS) - (06/04)
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