Non-compliance follow-up·February 5, 2026

On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordonez and Samuel Lopez conducted a Case Management-Legal/Non-Compliance inspection. This inspection is in agreement with, and as a result of the Stipulation And Waiver and Order that was ordered on 01/28/2021 for the licensee\342\200\231s previously licensed preschool program, facility number 334809747. LPAs met with the Director Jeanette Simms, toured the facility and conducted a census. The following was observed/discussed: \302\267 Plan of Operation on file. LPAs advised Director that should there be any changes to the Plan of Operation then an update should be submitted to the Department. Additionally, LPAs advised Director that the Plan of Operation should be in compliance at all times with regulation requirements as well as the Stipulation And Waiver and Order. \302\267 All individuals working, residing or volunteering in the facility were observed to have criminal record clearances, transfers, or exemptions during today\342\200\231s inspection. \302\267 LPAs advised Director to always ensure the facility maintains the current personnel records of each employee pursuant to Title 22 Regulation. Additionally, LPAs advised Director to ensure at least one director or teacher at the center shall have a current certificate of CPR and first aid training on file at the facility and that at least one staff member who has a current course completion card in pediatric first aid and pediatric CPR shall be on site at all times when children are present at the facility. \302\267 Poisons/toxins observed to be locked. \302\267 The Stipulation And Waiver and Order was observed to be posted in a conspicuous place at the facility. \302\267 LPAs advised Director to maintain an accurate, complete and current client roster at each facility. \302\267 LPAs advised Director that should there be any changes to its hiring and training practices, including job descriptions for each position at each facility, then a written summary should be submitted to the local licensing office. \302\267 LPAs advised Director that any unusual incident including, but not limited to, client death or injury which requires medical treatment, any suspected physical or psychological abuse of any client, any police, fire department, emergency personnel contacts at the facilities, and any physical plant changes and all unexplained absences. These incidents must be reported by the next working day, and a written report of the incident must be submitted within seven days following the occurrence of the incident. \302\267 LPAs advised Director to notify the local licensing office within one business day whenever substitute and/or temporary staff at a licensed facility location is 25% or more of the total number of personnel at the facility. \302\267 Medications and other toxic products were observed to be properly stored and kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication pursuant to Title 22 Regulation section 101226. \302\267 LPAs observed the facility to be clean, safe, sanitary and in good repair. \302\267 LPAs advised Director that per the Stipulation And Waiver and Order staff training shall include eight hours every three months. Respondent shall keep a record of staff who attend such training and make such records available to Licensing staff upon request. All such training must be provided using approved sources by the Department of Education or reputable outside organizations approved by the local Licensing office. \302\267 LPAs advised Director that per the Stipulation And Waiver and Order all newly hired personnel shall undergo 16 hours of training prior to placement in any facility, and thereafter 24 hours of training, once placed in the facility with a program vendor approved by the Department of Social Services local licensing office. \302\267 LPAs advised Director that per the Stipulation And Waiver and Order the Administrative Organization (LIC309) shall be completed annually and a copy of the completed form must be provided to the local Licensing office by no later than February 1 of each year of licensure. \302\267 LPAs advised Director that per the Stipulation And Waiver and Order a copy of the corporate board minutes must be submitted within 30 days of the date the board meeting to the local Licensing office. There were no deficiencies cited at this time. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Jeanette Simms.