Inspector’s narrative
What the inspector wrote
Licensing Program Analysts (LPAs), Deschampe and Do conducted an unannounced on-site Annual/Random inspection. LPA and facility representative toured the facility inside and outside the floor and yard plan (LIC 999) were verified. Census was taken in individual classrooms. The overall census observed was 8 staff and 81 children. Total enrollment is 84 with current census due to children on vacation. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 7:00 AM - 6:00 PM, Monday through Friday.
A review of the Facility Personnel Report Summary on this date 02/27/2026 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code (HSC) section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.
During the inspection of the indoor activity space, items which could pose a danger to children (detergents and cleaning compounds) were observed to be stored and out of reach of children. First-aid supplies were complete and stored in a location that is accessible to staff but inaccessible to children. Meals and snacks are provided by the facility. All food selected, stored, prepared, and served in a safe and healthful manner.
Menus were posted in an area accessible for review by child’s parents/authorized representatives.
Fixtures, furniture, equipment, and supplies were clean and observed to be in good repair, free of sharp edges, and age appropriate for all children enrolled in care. Children have access to drinking water via personal labeled water bottles and refilled from the Coway water filtration system from the kitchen. The children's and staff bathrooms are safe and in sanitary operating condition. Children nap on cots which are properly stored. Children's personal items, including bedding is clean, stored separately and individually, and in a labeled compartment. Children's bedding is brought home on Fridays or as needed. The facility has conducted an emergency drill within the past six months (02/20/2026). The facility has a centralized smoke detection system with the carbon monoxide detector located in the hallway, according to the facility representative. Orange County Fire Authority permit issued on 11/25/2025. There are 3 fire extinguishers on site. The facility maintains an indoor temperature within regulation (minimum of 68 degrees and maximum of 85 degrees F or, in extreme heat a maximum of 20 degrees less than the outside temperature). Facility met all waiver, exceptions, and posting requirements, including the California Child Passenger Safety Law, posted by the entrance of the facility.
The outdoor activity spaces were inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The area around and under high climbing equipment and slides, and other similar equipment was cushioned with material that absorbs falls (rubber turf). Drinking water in the outdoor activity space is provided by personalized water bottles. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair.
California Childcare Health Program website:
cchp.ucsf.edu/content/disaster-preparedness
. Also provided was information about the E-Learning Modules available at
https://ccld.childcarevideos.org
. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the facility representative shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and
Water Testing Information
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at:
https://www.ada.gov/resources/child-care-centers/
.
Staff files were reviewed for staff present during the facility inspection on this date, 3 out of 3 staff files were reviewed. Beginning September 1, 2016, Health and Safety (HSC) 1597.622 states, a person shall not be employed or volunteer at a child care center if he or she has not been immunized against influenza, pertussis, and measles. Beginning March 31, 2018, HSC 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications. California Code of Regulations (CCR) Title 22, Division 12 Section 101216 Personnel Records (g) All personnel, including, administrator and volunteers, shall be in good health and shall be physically and mentally capable of performing assigned tasks (1) ...good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one (1) year prior to or seven (7) days after employment or licensure. The requirement was not met in 1 out of 3 staff files. This poses as a potential risk if left unaddressed.
A random sample of 10 children's records were reviewed. There was a separate, complete and current record for each child. In the areas reviewed 8 out of 10 children’s files were found to be in full compliance. California Code of Regulations (CCR) Title 22, Division 12 Chapter 1 Section 101220(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to to assess whether the center can provide necessary health related services to the child (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, an shall not be more than one year old when obtained. 2 out of 10 children's files did not meet this requirement. This poses a potential risk if left unaddressed. Sign in/out is completed by the parent/authorized representative using their full signature on paper. A Technical Support Program (TSP) referral was discussed and licensee has accepted a referral to TSP.
Licensee was informed of the MyChildCarePlan.org website a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs)
throughout California. LPA also informed licensee of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at
https://www.cpsc.gov/
and recommended they register all devices with the CPSC to be notified of any recalls on their purchased equipment.
The facility representative was informed that Licensing Quarterly Updates are available at
www.ccld.ca.gov
and may request to be added to an email list to receive a Quarterly Update from
www.ccld.ca.gov
and select
Receive Important Updates link.
LPA provided Guardian Information and website info:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian
and completed subscription during the inspection.
In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.
Exit interview conducted and report was reviewed with the licensee, An Sook Suh and facility representative, Yooni Kim. Appeal Rights were discussed with licensee. The licensee was provided a copy of the 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. A notice of site visit was given and must remain posted for 30 days. The “Notice of Site Visit” must be posted on, or immediately adjacent to, the interior side of the main door to the facility. Failure to post will result in Civil Penalties of $100.00.
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
.
End of Report