101229(a)(1) · 101229 (a)(1) The licensee shall provide care and supervision as necessary to meet the children’s needs. No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation.

CD stated on 12/23/25, preschool teachers were trained on transitioning children and will provide LPA a summary of training with date, staff name printed and signatures of staff that attended. CD will email LPA document to selena.mariani@dss.ca.gov by end of buisness day, Monday, 01/12/26 Based on the facility's self reported UIR, S2-S3 interviews, S2, S3 & S5 written statements and documents received a child was left without supervision in the facility hallway during a transition from one preschool classroom to another for approximately 1-5 minutes. This poses an immediate health and safety risk to children in care. Melchisedeck Augustin NAME OF LICENSING PROGRAM MANAGER: Selena Mariani NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/09/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101239(e)(4) · Fixtures, Furniture, Equipment and Supplies (e) Faucets used by children for personal care shall deliver hot water. (4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition. Additional equipment, aids and/or conveniences shall be provided as needed in centers that serve children with physical disabilities.

CD stated they will have a staff meeting, communicate clear cleaning steps for the staff. The minutes from the meeting with date and staff name printed and signature will be emailed to LPA at selena.mariani@dss.ca.gov by 12/19/25 Based on interviews and observations from CD & LPAs, feces was not cleaned or sanatized from a toilet seat from 12/3/25 to 12/8/25, which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a)(1) · (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

Director stated she will create a plan of operation including securing the possible entry area for rodents and to ensure rodent and rodent feces will be removed from the facility including all classrooms and kitchen. Director will submit the plan of operation to LPA by 08/11/2025. Based on interviews from CD, AD & Staff, an incident occurred when a rodent fell from a ceiling tile after being caught in a trap with no daycare children present, which poses a potential health, safety or personal rights risk to persons in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

102416.2(b) · Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.... written report ... shall be submitted to the Department within seven days following the occurrence of such event." This requirement is not met as evidenced by Director submitted a Unusual Incident Report to LPA during today's visit. Plan of Correction Cleared Based on an interviews, Direcor did not notify and submit a UIR to CCL. This posed a potential health, safety and/or personal rights risk to children in care. Leslie Lepori NAME OF LICENSING PROGRAM MANAGER Sebastian Phouthavong NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 07/21/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101229(a)(1) · 101229 (a)(1) The licensee shall provide care and supervision as necessary to meet the children’s needs. No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation.

Director stated management is supervising staff during transitions and signing off on the transition. Director stated this change has been in place since February 18, 2025 and will continue. Director will also sent LPA a written statement with the changes that have been made to selena.mariani@dss.ca.gov Based on interviews, and observations, evidence shows that a child was in the restroom alone and without staff supervision. This poses a potential health, safety and/or personal rights risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. Director conducted staff training on 5/23/23 on Sight & Sound Supervision for Bathroom, Classroom and Playground.

Based on the Unusual Incident Report submitted by the facility on 5/17/2023, reporting that Child 1 was without supervision of a teacher in the outside playground for at least 8 minutes. This poses an immediate health and safety risk to the children in care Director submitted dated sign in training log from training conducted on 5/23/23 that shows 20 out of 22 staff attended training. SUPERVISOR'S NAME: Alexis Hollon

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. 1. Director will have all staff meeting about procedures and policies of Supervision 09/21/2022. 2. Inform all Parents of what happened.

On UIR of 07/12/2022, S2 and S3 did not observe that C1 wondered away from the playground and attempted to run inside the classroom. This presents a potential threat to the health and safety of children in care Notes of the staff meeting will be emailed to LPA Trinh by 09/21/2022. mary.trinh@dss.ca.gov

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101212(d)(1)(C) · (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. Director will always email to CCL UIR's and not through post office mail. CCL email is: cclrpregionalofficegeneral@dss.ca .gov UIR occurred on 07/12/2022 and UIR was received to CCL on 08/03/2022. This poses a potential safety to the children in care,

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216.3(b)(1) · A ratio of one fully qualified teacher (as specified in Section 101216.1(c)) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).

The Director stated she recently hired five staff and the facility has back staff available. The Director stated she will produce a detailed plan to outline how she intends to comply with the Teacher-Child ratio and the Department will conduct a visits to verify compliance with ratio requirements. Based on multiple statements that corroborated that the Pre-K and other classrooms operating out of ratio on multiple occasions for several weeks. This posed a posed an immediate health and safety risk to the children in care. email: melchisedeck.augustin@dss.ca.gov public email: cclrpregionalofficegeneral@dss.ca.gov Fax: 707-588-5099

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216.2(d)(1) · An aide assisting a fully qualified teacher (as specified in Section 101216.1(c)) in the supervision of up to 18 preschool-age children, pursuant to Section 101216.3 shall meet the following requirements: Completion of six postsecondary semester or equivalent quarter units in early childhood education or child The Director stated she made a change in the calssroom arrangements to now include on qualified staff. Director said she intends to review all staff qualification prior to hire. The Director stated she would submit a detailed plan which outlined the changes she made at the facility to ensure that Teacher-Child ratio would be met. development.

Based on the Aide in the Pre-K class did not meet the Teacher Aide qualifications of Title 22 regulations, 101216.2 which allows 18 children to be in care with a fully qualified Teacher and a Teacher’s Aide. This poses an immediate health and safety risk to the children in care email: melchisedeck.augustin@dss.ca.gov public email: cclrpregionalofficegeneral@dss.ca.gov Fax: 707-588-5099

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.