Follow-up on corrections·April 29, 2025

(Page 1) Licensing program analysts (LPAs) Giselle Lucero and Kathy Trinh conducted a Case Management visit, on today's date 04/29/2025. The purpose of today's visit is due to deficiencies that were observed during an unusual incident report (UIR) that was reported by the facility on 04/09/2025. The facility reported the ratio on the date of the incident to be 13 toddlers to 3 staff in Room #107. It was observed the facility is currently licensed for a capacity of 7 toddlers in the “New Nursey/Pink Room #117” only. LPAs met with Director Emily Martinez. Upon arrival LPAs toured the facility and census was taken. LPAs observed 12 toddler children with 3 staff in the Toddler room/Room #107 and a total of 96 preschool children with 12 staff in the play yard and classrooms (Orange Stars/Room#116, Purple Stars/Room #108, Red Stars/Room# 109, Blue Stars/Room #110, Yellow Stars/ Room#115, Green Stars/ Room #111). A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During interview with Director, Director stated Room #107 had been previously licensed under the preschool license and they were previously licensed for 12 toddler children. Director was unaware a fire clearance approval, and the Department’s approval is needed to be obtained for toddler usage in Yellow Stars/Room #107 before moving the toddler class in that room and was unaware of the decrease in the toddler capacity. (continue to page 2) (Page 2) Based on LPA's observation, interview and file review, the licensee did not comply with the section cited above. The facility is currently licensed for a capacity of 7 toddlers in the New Nursery/Pink room/ #117 only, based on today's visit, the facility is conducting in Room #107 for their toddler component with 13 toddlers currently enrolled and attending. It has been determined the facility is in violation of the Limitations on Capacity 101161 (a) and the Alterations to Existing Buildings or New Facilities 101237(a); and is being cited on the attached LIC 809Ds. LPA Lucero informed Director that this report dated 04/29/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lucero informed Director to provide a copy of this licensing report dated 04/29/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the Director Emily Martinez. A notice of site visit was given and must remain posted for 30 days. Appeal Rights and deficiencies were discussed. End of report.