• Type A

  101170(e)(1) · Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health & Safety Code Section 1596.871... shall prior to working... Obtain a California clearance or a criminal record exemption as required by the Department This regulation was not met as evidenced by The licensee agrees to ensure Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health & Safety Code Section 1596.871... shall prior to working...Obtain a California clearance or a criminal record exemption as required by the Department Based on LPA S. Brewer's observation & record review, the licensee was unable to provide proof of association by criminal record clearance as of 06/02/25 for a subject staff supervising infant children on today's date, which is a potential risk to the health & safety of children in care. The licensee agrees to submit a statement of understanding the regulation for Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health & Safety Code Section 1596.871, and submit proof of the clearance for a subject staff by fax, mail or e-mail. Ana Noble NAME OF LICENSING PROGRAM MANAGER Susan Brewer NAME OF LICENSING PROGRAM ANALYST LICENSING PROGRAM ANALYST SIGNATURE DATE 08/27/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Disposition: Unsubstantiated

Disposition: Unsubstantiated