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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371547
Report Date: 03/29/2024
Date Signed: 03/29/2024 10:38:36 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2024 and conducted by Evaluator Archibaldo Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240321120026
FACILITY NAME:ORANGE TREE CHRISTIAN PRESCHOOLFACILITY NUMBER:
304371547
ADMINISTRATOR:DAVIS, ELISAFACILITY TYPE:
850
ADDRESS:2115 NEWPORT BLVD.TELEPHONE:
(949) 458-1382
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY:60CENSUS: 35DATE:
03/29/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Leslie LucyTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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The licensee failed to provide parents or guardians a copy of a licensing report in a timely manner.
INVESTIGATION FINDINGS:
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On 3/29/2024 Licensing Program Analyst (LPA) A. Silva conducted an unannounced complaint investigation inspection. Upon arrival, the LPA met with Teacher Savannah Davis and informed her of the purpose of the visit. A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance. The census at the time of the visit was 35 children.

The Department received a complaint on 3/21/2024 alleging that 1) The licensee failed to provide a licensing report documenting Type A citations to parents promptly.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20240321120026
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: ORANGE TREE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 304371547
VISIT DATE: 03/29/2024
NARRATIVE
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On 3/21/24, the LPA spoke with the reporting party (RP) who stated the report was not provided until March 19th. RP shared documents corroborating the allegation. The report and Type A citations were originally issued on 3/05/24.

On 3/27/2024, the LPAs called 15 parents for an interview about the allegations. Seven of the parents disclosed they first received a copy of the report sometime between March 18 and March 25. One parent stated they received the report immediately after the visit. Three parents were unsure of the date when they received the report. One parent stated they did not receive the report. The rest of the parents were unavailable or did not answer the Department’s request for information.

On 3/29/2024, the LPA interviewed one staff at the facility. Staff stated that the report was posted immediately, and a copy was sent to the parents on the 19. A copy of the original emailed send to the parents was obtained.

On 3/29/2024, the LPA reviewed records related to the allegations. Twenty-two LIC9224 Acknowledgement of Receipt of Licensing Report forms were reviewed. The dates on the receipts range from March 19th to March 25th. A copy of child attendance records for March 6 through March 20 shows children were in attendance. A printout shows the report was originally sent to parents electronically on March 19.

Based on the LPA’s observations and conducted interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A substantiated finding means that the complaint is substantiated, and the allegations are valid because the preponderance of the evidence standard has been met.
Per HSC 1596.8595(c)(1) a reports must be provided to parents or guardians. The licensing report informs the licensee to

An exit interview was conducted with Admin Assistant Ashlliegh Salazar and Licensee Leslie Lucy. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240321120026
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: ORANGE TREE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 304371547
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2024
Section Cited
HSC
1596.8595(c)(1)
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1596.8595(c)(1) A licensed facility shall provide to the parents or guardians of each child copies of any licensing report that documents any Type A citation
The licensee did not comply with the regulation above as evidenced by:
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The licensee stated the signatures have been collected for all parents of children who are enrolled by today 3/29/24.
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Based on interview statements and records review, the licensee did not meet the regulation above in one report, which poses/posed a potential risk to children in care. The licensee provide a copy of a licensing report dated 3/5/24 on 3/19/24 via email.
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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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2024
LIC9099 (FAS) - (06/04)
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