101217(a) · 101217(a) Personnel Records: The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.

Licensee stated that they will email S1's LIC 9108, LIC 9052, and LIC 501 to LPA by due date. Based on record review, the licensee did not comply with the section cited above in that, Staff 1 (S1) did not have a complete personnel record on file, 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(g)(1) · 101238(g)(1) Buildings and Grounds: Storage areas for poisons shall be locked.

Licensee removed the Raid can spray from the kitchen cabinet where it was not locked. Licensee stated that they will store posionous items in a locked area. Based on observation and interview, the licensee did not comply with the section cited above in that, storage cabinet for Raid spray can was not locked, which poses a potential health, safety, or personal rights risk to persons in care. Nguyen K Tran NAME OF LICENSING PROGRAM MANAGER: Soo Jin Jung NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/14/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101223(a)(1) · 101223(a)(1) Personal Rights: To be accorded dignity in his/her personal relationships with staff and other persons.

Based on observation, the licensee did not Licensee stated that they will review Personal Rights for the children (LIC 613A) with staff and provide training to staff regarding children's rights. Licensee stated that they will email training topics and staff signatures to LPA by due date. comply with the section cited above in that, LPAs observed Staff 2 (S2) yell at children and yank a child's arm while assisting them in the restroom, which poses an immediate 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.

101229(a)(1) · 101229(a)(1) Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

Licensee stated that they will train all staff regarding proper care and supervision for children and submit training topics with staff signatures to LPA by due date. Based on observation, the licensee did not comply with the section cited above in that, LPAs observed two children going into the outdoor restroom without the supervision of staff, which poses an immediate health, safety or personal rights risk to persons in care. Nguyen K Tran NAME OF LICENSING PROGRAM MANAGER: Soo Jin Jung NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/14/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101238(g)(1) · 101238 (g)(1) Storage areas for poisons shall be locked.

Licensee stated they will move the poisons to a locked cabinet and send picture to LPA via email by due date. Based on observation, the licensee did not comply with the section cited above in that, poisons were not stored in a locked area, which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Nguyen K Tran

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101174(d) · 101174(d) Disaster drills shall be conducted at least every six months.

Licensee/Director stated that they will conduct an emergency drill and submit copy of the emergency drill log to LPA via email by due date. Based on observation, interview, and record review, the licensee did not comply with the section cited above in that, facility did not complete an emergency disaster drill since 8/30/24, 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) · 101238(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.

Licensee/Director removed the broken tricycle during the visit. Based on observation, the licensee did not comply with the section cited above in that, there was a broken tricycle in the play yard, which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Nguyen K Tran

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a) · 101217(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.

Licensee/Director stated that they will submit a copy of completed personnel record for S1 to LPA via email by due date. Based on record review, the licensee did not comply with the section cited above in that, Staff 1 (S1) did not have a complete personnel record, 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.

101229.1(b) · 101229.1(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

Licensee/Director stated that they will submit a copy of competed sign in sheet to LPA via email by due date. Based on record review, the licensee did not comply with the section cited above in that, 2 out of 18 children were not signed in, which poses a potential health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Nguyen K Tran

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101221(a) · 101221(a) A separate, complete and current record for each child is maintained in the child care center.

Licensee/director stated they will submit copies of missing documents from children files to LPA via email by due date. List of missing documents were provided to licensee/director. Based on observation, interview, and record review, the licensee did not comply with the section cited above in that, 17 out of 17 children files reviewed were incomplete, 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.

101216.3(b)(1) · Teacher-Child Ratio (b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (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).

Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in that 2 staff members did not have education verfication to meet qualifications, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that, the director stated they have never conducted an emergency drill, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(a) · Buildings and Grounds (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.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the outdoor playground had items which were broken, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101238(g) · Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that, facility did not keep disinfectants, cleaning solutions, and other items inaccessible to children, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, 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 year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that 1 staff member did not have a health screening report on file, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/23/2024

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in that, 2 staff members did not have complete personnel records maintained by the director, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(16) · Food Service (16) Pesticides and other similar toxic substances shall not be stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that, one can of pesticide was kept in the same cabinet as kitchen equipment, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2024

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

101216.3(a) · 101216.3(a) Teacher-Child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. In addtion DIrector stated she has hired a new qualified teacher who was cleared on 2/6/24. Based on staff’s interview, S2 disclosed being left alone with 14 children. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(1) · 101229(a)(1) Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time...

Based on staff’s interview, S1 admitted to being the only staff present at the facility Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. Director stated that she will adjust staff schedules to accommodate the center's needs. from opening until 8:30am for both the infants and preschoolers. S3 disclosed witnessing S1 left the preschoolers playing outside while S1 was in the infant room with the door opened. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101216.1(b)(1) · 101216.1(b)(1) Teacher Qualifications and Duties: A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement .

Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. In addition Director has stated that she has hired teachers that are qualified. Based on staff’s interview and record review, S3 only has 3 ECE units and was left alone supervising children. This poses an immediate health and safety risk to the children in care.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101161(a) · Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

Based on staff’s interview, S3 stated S3 currently has two children under 2 yrs. old with Director stated she will email LPA Valdez Santana her Compliance Plan via email by POC due date at dianna.valdezsantana@dss.ca.gov. Director wil adjust one of the teacher's schedules to start at an earlier time to accommodate the school's morning ratio. the young preschoolers. S2 and S3 stated, they combine the (preschool) children with the infants at the end of the day into the infant classroom. This poses an immediate health and safety risk to the children in care. SUPERVISOR'S NAME: Thuy Ho

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101170(e)(2) · (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility (2) Request a transfer of a criminal record clearance...

LPA Valdez Santana and Jung explained to the Director the difference between the LIC9182 and the LIC9163. Director stated she forgot to call the Licensing Office to get Nicole Lockmer associated. The correct form was submitted to Licensing office during visit and Nicole is now associated to facility. Teacher Nicole Lockmer began employment at the facilty in May 2023 and has been present at the facility without being associated to the facility. In Nicole's file, there was an imcomplete Live Scan form and Nicole needed the LIC 9182- Clearance transfer request. Director will email LPA Valdez Santana her

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

101217(a) · 101217 Personnel Records: The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.

by Director stated she will ensure that all the staff files are complete by the POC due date. Director will remove irrelevant forms and make sure all the forms are filled out completely. 6 out of 6 staff did not have complete files.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101221(a) · 101221(a) Child's Records: A separate, complete and current record for each child is maintained in the child care center.

by: 5 out of 5 children's records were incomplete The Director stated will review all the children's files and note what is missing from each one and have parents finish filling out the forms by the POC due date. SUPERVISOR'S NAME: Thuy Ho

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101229(a)(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. The above was not met as evidenced by

Based on observations by LPA during the The director stated that they will draft a plan to address the lack of supervision, with all staff at the facility. Proof of this and the plan will be emailed to LPA by 8/10/22. inspection on 8/9/22, it was determined that the staff do not properly supervise children in care. LPA observed 14 preschool children playing outside with out the visual supervision of a staff for approximately 4 minutes. This poses an immediate threat to the children's health, safety, and personal rights.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101217(a) · Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

Deficient Practice Statement Based on LPA's record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. One of the staff files was not complete and available for review, this staff is a substitute and present due to 2 regular staff being out for the day. POC Due Date: 08/30/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.