LA PETITE ACADEMY, INC.

Type B citation from complaint investigation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

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 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 09/23/2025 at 03:00 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted a Case Management Inspection at La Petite Academy Inc. LPA met with Director, Jamie Czelusniak and explained the purpose of this visit. During today's inspection, there are 32 preschool children in care with (4) four staff in 3 (three) classrooms. Director stated there are 45 preschool children enrolled. LPA was following up on an Unusual Incident Report which was reported on 09/18/2025. During the visit, an LPA and the Director attended a teams meeting with Kierstin Bulkner (The facilities district manager) who was able to access the facilities camera footage. During the meeting LPA observed video footage of S2 pulling C1 down to the cot by C1's ankle and then pushing on C1's should to lay them down on the cot. California code of regulations, Title 22 states each child is accorded the following personal rights ... To be free from...unusual punishment...or other actions of a punitive nature. The facility is out of compliance with Title 22 regulations. LPA Reeca Sykes informed the Director, Jamie Czelusniak that this report dated 09/23/2025 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care. *SEE LIC 809-D FOR DEFICIENCIES* Exit interview conducted and report was reviewed with the Director, Jamie Czelusniak. Notice of Site Visit was given and must remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson NAME OF LICENSING PROGRAM ANALYST: Kareeca Sykes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2025 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 3 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to

Type A citation from complaint investigation - immediate risk

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected