Correction check·April 13, 2023

On 4/13/23, a follow-up proof of correction inspection that was made by Licensing Program Analysts (LPAs) Tran and LPA Chan. LPAs met with Director Rebekah Bay, who guided the analysts on a tour of the facility. Census was taken as follows; 41 preschool children and 6 staff members. LPAs informed the Director of the purpose of today's visit. A review of the Facility Personnel Report Summary on 04/13/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. On 3/29/23, an initial unannounced case management visit was conducted and a LIC 809 was completed. A type A deficiency was previously cited on a LIC 809D, in accordance with California Code of Regulations, Title 22, Division 12, Section 101229(a)(1) Responsibility for Providing Care and Supervision. This was a repeated violation that was previously cited on 03/09/2023. On 03/29/2023, a plan of correction was discussed with Director Rebekah Bay, in which, the Director provided a detailed plan to address the importance of providing supervision in care including supervision strategies, and ensuring all interior doors locked in sanctuary, while preschool children are on campus, and document of discussion with church administrative staff to keep door closed and locked. On 4/6/23, a follow-up visit was made, and LPAs observed the Notice of Site Visit was posted. During the inspection, 1 door out of 3 office doors in the Sanctuary was not locked. This unlocked door is open into Room # 11, an off-limit room, and this room #11 has another exit door into the parking lot of the facility. Plan of Correction was not cleared on 4/6/23 and a civil penalty was assessed for repeated violation on 4/6/23. Page 1 of 2 On 4/13/23, during today’s visit, LPAs observed the Notice of Site Visit and licensing reports were posted. Based on LPAs observation and inspection, all 3 doors (Church Office, Room #11 and Room # 11 other door) in the Sanctuary were kept locked and signs were up by the doors “Door Must Remain Locked During School Hours (Monday-Friday 7am-6pm)”. During an interview with the Director, she stated that the facility is keeping all 3 doors locked during school hours. Facility is within compliance with the Plan of Correction to keep the doors in the sanctuary always locked while preschool children are present. In the areas that were evaluated, NO deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. An exit interview was conducted, and report was reviewed with Director Rebekah Bay. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Director was provided a copy of 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. First level appeals should be sent to the regional manager to the address listed above. (End of Report) Page 2 of 2