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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371513
Report Date: 06/15/2023
Date Signed: 06/15/2023 09:52:29 AM

Document Has Been Signed on 06/15/2023 09:52 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:
304371513
ADMINISTRATOR:JOHNSON, LAURA G.FACILITY TYPE:
830
ADDRESS:21772 LAKE FOREST DRIVETELEPHONE:
(949) 859-0805
CITY:LAKE FORESTSTATE: CAZIP CODE:
90630
CAPACITY: 10TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
06/15/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
07:57 AM
MET WITH:Laura JohnsonTIME COMPLETED:
10:10 AM
NARRATIVE
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Licensing Program Analyst (LPA) Dean Thompson conducted a case management inspection, in conjunction with another inspection at the facility. Upon arrival at 7:45 am, LPA met with infant staff #1 (S1). Census was taken inside the infant classroom. LPA observed a total of 5 infants with S1 inside the Infant classroom. 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. LPA met with Director Laura Johnson when she arrived at 9:00 am.

A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 5/16/2023 the facility was cited one Type A 101416.5(b) Staff-Infant Ratio due to LPA observing one staff with six infants.

Based on LPA's observations of one (1) staff supervising five (5) infant children on todays date, the facility is in violation and will be cited for one Type A 101416.5(b) Staff-Infant Ratio along with a civil penalty. This is an immediate health and safety and personal rights risk to the children in care. See deficiency observed and cited on LIC 809D.

LPA Thompson informed Director Laura Johnson that this report dated 6/15/2023 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.


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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: 304371513
VISIT DATE: 06/15/2023
NARRATIVE
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Also, LPA Thompson informed 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 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 explained. Director Laura Johnson was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above.
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 09:52 AM - It Cannot Be Edited


Created By: Dean Thompson On 06/15/2023 at 08:06 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: 304371513

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
101416.5

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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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Director stated she will get another staff or aide and adjust staff hours. Director will submit a statement of understanding of the regualtion and detailed plan to ensure ratio are being met, to LPA by due date.

This is a repeat violation from 5/16/23 and immediate civil penalty of $250 was assessed today.
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At the time of the visit today, LPA observed 5 infants inside the Infant classroom with one staff S1. This poses an immediately health and safety risk to 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: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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