Incident investigation·February 18, 2025

On 02/18/2025 Licensing Program Analysts (LPA) Cristina Castellanos conducted an unannounced Case Management \342\200\223 Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 02/03/2025. Upon arrival, LPA met with Lead Teacher/Coordinator Chilien Hsu and explained the purpose of the visit. LPA then toured the facility both indoors and outdoors. Licensee Fong Hsu arrived at approximately 01:40pm. There were 26 children present at the facility, 2 Teachers and 4 Teacher Assistant. According to the UIR, on 01/31/2025 during the outdoor playtime the child named on the report fell forward and hit his face on the concrete area. LPA requested the following documents: Parent handbook, children's roster, staff roster, personnel files and the pre-school daily activity schedule. Furthermore, LPA took pictures of the outdoor play areas and initiated staff interviews. During today\342\200\231s inspection, LPA observed all three classrooms: Big, Middle, and Small to be out of ratio. From 12:15pm to 12:45pm LPA Castellanos observed 8 children with one staff member (S4), identified as a teacher assistant by Lead Teacher C. Hsu and staff member herself. Then at 12:35pm LPA Castellanos enter the Big and Middle classrooms and observed 18 children of whom were awake with just one staff member S3. Around 12:45pm staff member S2 then enter the classroom. Based on observation, the facility was operating out of ratio - 101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below, which poses an immediate health, safety or personal rights risk to persons in care. Continue Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there was one (1) deficiency cited at this time for violation of Title 22 Regulation: (see LIC809-D) Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a Type \342\200\234A\342\200\235 deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgment of Receipt (LIC9224) form must be maintained in each child\342\200\231s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit. At this time, further investigation is needed for the incident on 01/31/2025. An exit interview was conducted, a copy of this report (LIC 809) was provided, and Plan of Correction was reviewed and developed with Licensee Fong Hsu. Appeal rights were discussed and left with Licensee Fong Hsu. Page 2