ANAHEIM ELEMENTARY SCHOOL DISTRICT MADISON

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Page 1 On 11/4/2025 Licensing Program Analysts (LPAs) D. Valdez Santana and A. Nunez conducted a case management inspection of the facility for the purpose of decreasing capacity from 45 preschool children to 24 preschool children by taking Room #PS2 (aka CR50) off the license and keeping only room CR51. LPAs met with site supervisor, Apinder Kaur. LPAs toured the facility and census was taken. There were 9 preschool-age children and 3 staff for the AM session. Currently the facility is licensed for 45 children in rooms PS1 (aka CR51) and PS2 (aka CR50). The licensee has requested to provide care and supervision for 24 preschool children in room CR51 for ages 2.9 to 5 years old, Monday through Friday, 7:30 a.m. to 4:00 p.m. in Morning and Afternoon sessions. The facility has waivers to share the playground and to visit Music Room #27 and the Library. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (The staff are employees of Anaheim Elementary School District). The State Preschool is a Title 5 Program that offers morning and afternoon sessions. Morning hours are from 8:00am-11:00am and afternoon sessions are from 12:00pm to 3:00 pm. The facility provides morning snacks and afternoon lunch to the children. Children do not nap in this program. The children are dropped off and are signed in and out at the entrance door. The facility has met all the posting requirements. There are three sinks in the classroom. Continue to page 2 NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Dianna ValdezSantana LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/04/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 4 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Page 1 On 11/4/2025 Licensing Program Analysts (LPAs) D. Valdez Santana and A. Nunez conducted a case management inspection of the facility for the purpose of decreasing capacity from 45 preschool children to 24 preschool children by taking Room #PS2 (aka CR50) off the license and keeping only room CR51. LPAs met with site supervisor, Apinder Kaur. LPAs toured the facility and census was taken. There were 9 preschool-age children and 3 staff for the AM session. Currently the facility is licensed for 45 children in rooms PS1 (aka CR51) and PS2 (aka CR50). The licensee has requested to provide care and supervision for 24 preschool children in room CR51 for ages 2.9 to 5 years old, Monday through Friday, 7:30 a.m. to 4:00 p.m. in Morning and Afternoon sessions. The facility has waivers to share the playground and to visit Music Room #27 and the Library. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (The staff are employees of Anaheim Elementary School District). The State Preschool is a Title 5 Program that offers morning and afternoon sessions. Morning hours are from 8:00am-11:00am and afternoon sessions are from 12:00pm to 3:00 pm. The facility provides morning snacks and afternoon lunch to the children. Children do not nap in this program. The children are dropped off and are signed in and out at the entrance door. The facility has met all the posting requirements. There are three sinks in the classroom. Continue to page 2 NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Dianna ValdezSantana LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/04/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 4 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES