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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371570
Report Date: 08/13/2026
Date Signed: 08/13/2026 03:46:31 PM

Document Has Been Signed on 08/13/2026 03:46 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MIRACULOUS MILESTONESFACILITY NUMBER:
304371570
ADMINISTRATOR/
DIRECTOR:		DOMINIQUE COCCIOFACILITY TYPE:
850
ADDRESS:1000 BISON AVENUETELEPHONE:
(562) 381-4803
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92660
CAPACITY: 70TOTAL ENROLLED CHILDREN: 69CENSUS: 39DATE:
08/13/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:23 AM
MET WITH:Facility Representative, Dominique CoccioTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 08/13/2026, Licensing Program Analyst (LPA) Deschampe arrived at the facility at 9:23AM for a Case Management - Incident inspection which was initiated on 07/29/2026 due to a self-reported Unusual Incident Report (UIR). LPA was allowed entry to the facility by Facility Representative/Director (FR), Dominique Coccio. LPA explained the purpose of the visit. FR guided LPA on a tour of the facility and LPA obtained the following census: 39 preschool children with 9 staff.

A review of staff criminal records on this date 08/13/2026 indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

Health and Safety Code (HSC) §1596.817 Site visits; posting of notices; contents; citations for violations; duration of posting; civil penalties (a) When the Department conducts a site visit of a licensed child day care facility, the Department shall post on, or immediately adjacent to, the interior side of the main door into the facility and adjacent to the postings required pursuant to section 1596.8595, a notice,...(b)(1) The notice posted pursuant to subdivision (a) shall remain posted for 30 consecutive days, except that a family day care home shall comply with the posting requirements contained in this subdivision only during the hours when clients are present. (2) Failure by a licensed child day care facility or a family day care home to comply with paragraph (1) shall result in an immediate civil penalty of one hundred dollars ($100). This requirement was not met as evidenced by LPA observation and staff interview. Upon today's arrival to the child day care facility at 9:25AM, LPA observed the Notice of Site Visit was not posted on the front door entrance (picture taken). On 07/29/2026, LPA observed FR post the sign on the interior of the front door entrance. During the staff interview, FR stated the Notice of Site Visit is removed on Wednesdays and Fridays (for church on Sunday), per church request. FR stated she forgot to post the Notice of Site Visit this morning. LPA observed FR re-post the Notice of Site Visit in the original location from 07/29/2026.

Thuy Ho
Susan Deschampe
DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 08/13/2026 03:46 PM - It Cannot Be Edited


Created By: Susan Deschampe On 08/13/2026 at 10:04 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: MIRACULOUS MILESTONES
FACILITY NUMBER: 304371570

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2026
Section Cited
HSC
1596.817(b)(1)

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(b)(1) The notice posted pursuant to subdivision (a) shall remain posted for 30 consecutive days,...

This requirement was not met as evidenced by:
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Facility reposted Notice of Site Visit immediately on 08/13/2026.
Facility shall ensure the Notice of Site Visit remain posted for 30 consecutive days.
FR will email church to inform of the HSC 1596.817.
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8/13/26 at 9:25AM LPA observed Notice of Site Visit(NOS)was not posted at entrance of facility. Director stated NOS is removed every Wed & Fri. Director forgot to post NOS on 8/13/26.This posed a potential health, safety or personal rights risk to persons 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.
Thuy Ho
NAME OF LICENSING PROGRAM MANAGER:
Susan Deschampe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/13/2026


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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MIRACULOUS MILESTONES
FACILITY NUMBER: 304371570
VISIT DATE: 08/13/2026
NARRATIVE
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The following Type B deficiency is being cited on the attached LIC 809-D in accordance with Health & Safety Code (HSC) §1596.817(b)(1) Site visits; posting of notices; contents; citations for violations; duration of posting; civil penalties, was issued (copy of HSC 1596.817 printed and given to FR). A civil penalty in the amount of $100.00 was issued today, 08/13/2026.



On 07/22/2026, the UIR was filed with the Orange County Regional Office (OCRO) to self-report an incident from 07/22/2026. The Reporting Party (RP) stated at 8:47AM, 3 staff were in the classroom with 8 students, transitioning to the playground. Child 1 (C1) was asleep and dropped off by Parent 1 (P1) and placed on the corner couch. Upon entering the playground, Staff 1 (S1) realized C1 was not with the group and ran to the classroom to get C1.

On 08/13/2026, LPA conducted interviews with staff and obtained pertinent documentation. Due to additional information needed, the UIR needs further investigation.

Exit interview conducted and report was reviewed with the facility representative, Dominique Coccio. Appeal Rights were discussed with facility representative. The facility representative 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 consecutive 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.

End of report.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Susan Deschampe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
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