ANGELA MARTINEZ CHILD DEVELOPMENT CENTER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Jimenez and Licensing Program Manager (LPM) Herring arrived at the facility to conduct a case management inspection in reference to the self-reported unusual incident that occurred on 03/27/2025, at 4:27PM. An authorized representative of another enrolled day care child informed Alia Dugum, Site Supervisor that child #1 was alone in Class A. At 4:28PM, adults #1, and adult #2 found the child alone in Class A, while his class was in outdoor play with Class B and Class C. According to the investigation and interviews conducted, the child was left unattended for approximately 5 minutes. It was determined that proper teacher/child ratios were in place at the time. Facility stated that they became aware of the concern that child #1 was unaccounted for and that they took immediate and proactive steps to address the situation. At end of day on 3/27/25, Ms. Alia provided training and reinforced to staff that care and supervision must be enforced at all times. On 3/28/25. Ms. Alia met with staff to discuss the lapse of supervision. A training on Care and Supervision, Standards of Conduct and Zero Tolerance was provided to staff. The following topics and strategies were covered: keep children within visual and audio range at all times; position and station to ensure proper visibility; conduct head counts during all transitions and teacher talk; immediately report any incident that may affect a child's safety; and to never leave a child unsupervised under any circumstance. On 03/28/2025, at 2:57PM Ms. Bravo called the child's parent to inform her that when her son was in outdoor play, he ran into a classroom and was shortly found by another child's authorized representative. He was brought back to his class by teaching staff. The parent seemed to understand and was accepting of Ms. Bravo's apology. Ms. Bravo also shared that staff had received additional training. (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2025 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

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Jimenez and Licensing Program Manager (LPM) Herring arrived at the facility to conduct a case management inspection in reference to the self-reported unusual incident that occurred on 03/27/2025, at 4:27PM. An authorized representative of another enrolled day care child informed Alia Dugum, Site Supervisor that child #1 was alone in Class A. At 4:28PM, adults #1, and adult #2 found the child alone in Class A, while his class was in outdoor play with Class B and Class C. According to the investigation and interviews conducted, the child was left unattended for approximately 5 minutes. It was determined that proper teacher/child ratios were in place at the time. Facility stated that they became aware of the concern that child #1 was unaccounted for and that they took immediate and proactive steps to address the situation. At end of day on 3/27/25, Ms. Alia provided training and reinforced to staff that care and supervision must be enforced at all times. On 3/28/25. Ms. Alia met with staff to discuss the lapse of supervision. A training on Care and Supervision, Standards of Conduct and Zero Tolerance was provided to staff. The following topics and strategies were covered: keep children within visual and audio range at all times; position and station to ensure proper visibility; conduct head counts during all transitions and teacher talk; immediately report any incident that may affect a child's safety; and to never leave a child unsupervised under any circumstance. On 03/28/2025, at 2:57PM Ms. Bravo called the child's parent to inform her that when her son was in outdoor play, he ran into a classroom and was shortly found by another child's authorized representative. He was brought back to his class by teaching staff. The parent seemed to understand and was accepting of Ms. Bravo's apology. Ms. Bravo also shared that staff had received additional training. (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2025 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

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 25Licensing Program Analyst (LPA) Jimenez and Licensing Program Manager (LPM) Herring arrived at the facility to conduct a case management inspection in reference to the self-reported unusual incident that occurred on 03/27/2025, at 4:27PM. An authorized representative of another enrolled day care child informed Alia Dugum, Site Supervisor that child #1 was alone in Class A. At 4:28PM, adults #1, and adult #2 found the child alone in Class A, while his class was in outdoor play with Class B and Class C. According to the investigation and interviews conducted, the child was left unattended for approximately 5 minutes. It was determined that proper teacher/child ratios were in place at the time. Facility stated that they became aware of the concern that child #1 was unaccounted for and that they took immediate and proactive steps to address the situation. At end of day on 3/27/25, Ms. Alia provided training and reinforced to staff that care and supervision must be enforced at all times. On 3/28/25. Ms. Alia met with staff to discuss the lapse of supervision. A training on Care and Supervision, Standards of Conduct and Zero Tolerance was provided to staff. The following topics and strategies were covered: keep children within visual and audio range at all times; position and station to ensure proper visibility; conduct head counts during all transitions and teacher talk; immediately report any incident that may affect a child's safety; and to never leave a child unsupervised under any circumstance. On 03/28/2025, at 2:57PM Ms. Bravo called the child's parent to inform her that when her son was in outdoor play, he ran into a classroom and was shortly found by another child's authorized representative. He was brought back to his class by teaching staff. The parent seemed to understand and was accepting of Ms. Bravo's apology. Ms. Bravo also shared that staff had received additional training. (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2025 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

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Jimenez and Licensing Program Manager (LPM) Herring arrived at the facility to conduct a case management inspection in reference to the self-reported unusual incident that occurred on 03/27/2025, at 4:27PM. An authorized representative of another enrolled day care child informed Alia Dugum, Site Supervisor that child #1 was alone in Class A. At 4:28PM, adults #1, and adult #2 found the child alone in Class A, while his class was in outdoor play with Class B and Class C. According to the investigation and interviews conducted, the child was left unattended for approximately 5 minutes. It was determined that proper teacher/child ratios were in place at the time. Facility stated that they became aware of the concern that child #1 was unaccounted for and that they took immediate and proactive steps to address the situation. At end of day on 3/27/25, Ms. Alia provided training and reinforced to staff that care and supervision must be enforced at all times. On 3/28/25. Ms. Alia met with staff to discuss the lapse of supervision. A training on Care and Supervision, Standards of Conduct and Zero Tolerance was provided to staff. The following topics and strategies were covered: keep children within visual and audio range at all times; position and station to ensure proper visibility; conduct head counts during all transitions and teacher talk; immediately report any incident that may affect a child's safety; and to never leave a child unsupervised under any circumstance. On 03/28/2025, at 2:57PM Ms. Bravo called the child's parent to inform her that when her son was in outdoor play, he ran into a classroom and was shortly found by another child's authorized representative. He was brought back to his class by teaching staff. The parent seemed to understand and was accepting of Ms. Bravo's apology. Ms. Bravo also shared that staff had received additional training. (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/08/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2025 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