OAKS CHILDREN'S CENTER, INC.

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens

Type A citation - immediate risk to health, safety, or personal rights

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 07/24/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Jyn Tabbytosavit for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident report (LIC624) submitted to the Fresno Community Care Licensing (CCL) office. This incident occurred in Bears Classroom and the written report was submitted to the CCL office on 07/03/2025, with no record of reporting the incident to the Officer of the Day (OD) 24 hours from the actual occurrence date. This incident involved a day-care child who was observed playing with an epi-pen. Child #1 was using what appeared to be a “yellow stick” as a drumstick, along with other musical instruments and toys. Staff #1 reported that she observed C1 using the “yellow stick,” removed it and placed it in a basket on the counter. Two days later, during clean up, Staff #1 found the “yellow stick” and realized that it was actually an epi-pen. At that point, Staff #1 secured the medication by moving it to an area inaccessible to children and taking it to the office, reporting it to the Director. Staff self-admitted that they failed to secure the medication, allowing children to access and use it as a toy. The epi-pen had been placed in the counter within reach of children, posing an immediate threat to children in care. The mistake was due to confusion, as staff believed the item was a toy musical instrument. Continued on LIC809-C. NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian NAME OF LICENSING PROGRAM ANALYST: Nohemi Sanchez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/24/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2025 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 The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licens