CHAMPIONS - FRANKLIN ELEMENTARY

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) Andrea Medlin met with facility representative for this case management visit due to an incident that happened on 2/8/2023. Purpose of the visit explained. There are 12 children present during the visit. Only the administrator is present initially. Initially, there are no other staff present during visit thereby preventing administrator/director from performing administrative functions including assisting licensing during the visit. Later another staff person arrived to assist. On 2/8/2023, a former staff person (S1) exposed a child in the program to inappropriate content and violated facilities own policy as well as the personal rights of child in incident. The deficiencies cited on the following page are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1: This report is reviewed with facility representative, Thomas Malave, and a copy of this report must be made available for public review upon request. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023 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 2 FACILITY NAME: CHAMPIONS - FRANKLIN ELEMENTARY FACILITY NUMBER: 414004219 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/22/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/15/2023 Section Cited CCR 101215.1(c) 1 2 3 4 5 6 7The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department. This requirement is not met as evidence there is only the director here acting in a teacher role. (continued below)1 2 3 4 5 6 7Facility to come up with a plan to have the director able to fullfill administrative functions, assist licensing during visits, and not be in ratio when needed for administrator duties. Proof of correction shall be sent to the licensing office by 3/15/2023. 8 9 10 11 12 13 14The only staff person here is the director and is in ratio watching 12 children. The director is unable to fulfill administrative functions nor initially assist licensing as there are no other staff present. This poses a potential health and safety hazard. 8 9 10 11 12 13 14 Type B 03/15/2023 Section Cited CCR101223(a)(1) 1 2 3 4 5 6 7The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met based on evidence that a former staff person gave a personal electronic device to a child in care which contained explicit and inappropriate images. 1 2 3 4 5 6 7Facility has terminated the involved staff person and a staff meeting was held with Chamions staff as a reminder of the policy on personal electronic devices not being shared with children. 8 9 10 11 12 13 14The police department and school district condcuted their own investigation. Subsequently, the staff person involved admitted it was an accident and that staff person was terminated. This poses a potential health and safety hazard to children in care. 8 9 10 11 12 13 14Facility to send a copy of staff person's termination letter and a copy of the staff meeting agenda that addresed this topic. Send a copy to the licensing office by 3/15/2023. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Daniel J Oquendo LICENSING EVALUATOR NAME:Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023

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) Andrea Medlin met with facility representative for this case management visit due to an incident that happened on 2/8/2023. Purpose of the visit explained. There are 12 children present during the visit. Only the administrator is present initially. Initially, there are no other staff present during visit thereby preventing administrator/director from performing administrative functions including assisting licensing during the visit. Later another staff person arrived to assist. On 2/8/2023, a former staff person (S1) exposed a child in the program to inappropriate content and violated facilities own policy as well as the personal rights of child in incident. The deficiencies cited on the following page are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1: This report is reviewed with facility representative, Thomas Malave, and a copy of this report must be made available for public review upon request. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023 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 2 FACILITY NAME: CHAMPIONS - FRANKLIN ELEMENTARY FACILITY NUMBER: 414004219 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/22/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/15/2023 Section Cited CCR 101215.1(c) 1 2 3 4 5 6 7The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department. This requirement is not met as evidence there is only the director here acting in a teacher role. (continued below)1 2 3 4 5 6 7Facility to come up with a plan to have the director able to fullfill administrative functions, assist licensing during visits, and not be in ratio when needed for administrator duties. Proof of correction shall be sent to the licensing office by 3/15/2023. 8 9 10 11 12 13 14The only staff person here is the director and is in ratio watching 12 children. The director is unable to fulfill administrative functions nor initially assist licensing as there are no other staff present. This poses a potential health and safety hazard. 8 9 10 11 12 13 14 Type B 03/15/2023 Section Cited CCR101223(a)(1) 1 2 3 4 5 6 7The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met based on evidence that a former staff person gave a personal electronic device to a child in care which contained explicit and inappropriate images. 1 2 3 4 5 6 7Facility has terminated the involved staff person and a staff meeting was held with Chamions staff as a reminder of the policy on personal electronic devices not being shared with children. 8 9 10 11 12 13 14The police department and school district condcuted their own investigation. Subsequently, the staff person involved admitted it was an accident and that staff person was terminated. This poses a potential health and safety hazard to children in care. 8 9 10 11 12 13 14Facility to send a copy of staff person's termination letter and a copy of the staff meeting agenda that addresed this topic. Send a copy to the licensing office by 3/15/2023. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Daniel J Oquendo LICENSING EVALUATOR NAME:Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023

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) Andrea Medlin met with facility representative for this case management visit due to an incident that happened on 2/8/2023. Purpose of the visit explained. There are 12 children present during the visit. Only the administrator is present initially. Initially, there are no other staff present during visit thereby preventing administrator/director from performing administrative functions including assisting licensing during the visit. Later another staff person arrived to assist. On 2/8/2023, a former staff person (S1) exposed a child in the program to inappropriate content and violated facilities own policy as well as the personal rights of child in incident. The deficiencies cited on the following page are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1: This report is reviewed with facility representative, Thomas Malave, and a copy of this report must be made available for public review upon request. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023 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 2 FACILITY NAME: CHAMPIONS - FRANKLIN ELEMENTARY FACILITY NUMBER: 414004219 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/22/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/15/2023 Section Cited CCR 101215.1(c) 1 2 3 4 5 6 7The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department. This requirement is not met as evidence there is only the director here acting in a teacher role. (continued below)1 2 3 4 5 6 7Facility to come up with a plan to have the director able to fullfill administrative functions, assist licensing during visits, and not be in ratio when needed for administrator duties. Proof of correction shall be sent to the licensing office by 3/15/2023. 8 9 10 11 12 13 14The only staff person here is the director and is in ratio watching 12 children. The director is unable to fulfill administrative functions nor initially assist licensing as there are no other staff present. This poses a potential health and safety hazard. 8 9 10 11 12 13 14 Type B 03/15/2023 Section Cited CCR101223(a)(1) 1 2 3 4 5 6 7The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met based on evidence that a former staff person gave a personal electronic device to a child in care which contained explicit and inappropriate images. 1 2 3 4 5 6 7Facility has terminated the involved staff person and a staff meeting was held with Chamions staff as a reminder of the policy on personal electronic devices not being shared with children. 8 9 10 11 12 13 14The police department and school district condcuted their own investigation. Subsequently, the staff person involved admitted it was an accident and that staff person was terminated. This poses a potential health and safety hazard to children in care. 8 9 10 11 12 13 14Facility to send a copy of staff person's termination letter and a copy of the staff meeting agenda that addresed this topic. Send a copy to the licensing office by 3/15/2023. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Daniel J Oquendo LICENSING EVALUATOR NAME:Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023

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) Andrea Medlin met with facility representative for this case management visit due to an incident that happened on 2/8/2023. Purpose of the visit explained. There are 12 children present during the visit. Only the administrator is present initially. Initially, there are no other staff present during visit thereby preventing administrator/director from performing administrative functions including assisting licensing during the visit. Later another staff person arrived to assist. On 2/8/2023, a former staff person (S1) exposed a child in the program to inappropriate content and violated facilities own policy as well as the personal rights of child in incident. The deficiencies cited on the following page are in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1: This report is reviewed with facility representative, Thomas Malave, and a copy of this report must be made available for public review upon request. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023 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 2 FACILITY NAME: CHAMPIONS - FRANKLIN ELEMENTARY FACILITY NUMBER: 414004219 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/22/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/15/2023 Section Cited CCR 101215.1(c) 1 2 3 4 5 6 7The child care center director shall be responsible for the operation of the center, for compliance with regulations, and for communications with the Department. This requirement is not met as evidence there is only the director here acting in a teacher role. (continued below)1 2 3 4 5 6 7Facility to come up with a plan to have the director able to fullfill administrative functions, assist licensing during visits, and not be in ratio when needed for administrator duties. Proof of correction shall be sent to the licensing office by 3/15/2023. 8 9 10 11 12 13 14The only staff person here is the director and is in ratio watching 12 children. The director is unable to fulfill administrative functions nor initially assist licensing as there are no other staff present. This poses a potential health and safety hazard. 8 9 10 11 12 13 14 Type B 03/15/2023 Section Cited CCR101223(a)(1) 1 2 3 4 5 6 7The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.This requirement is not met based on evidence that a former staff person gave a personal electronic device to a child in care which contained explicit and inappropriate images. 1 2 3 4 5 6 7Facility has terminated the involved staff person and a staff meeting was held with Chamions staff as a reminder of the policy on personal electronic devices not being shared with children. 8 9 10 11 12 13 14The police department and school district condcuted their own investigation. Subsequently, the staff person involved admitted it was an accident and that staff person was terminated. This poses a potential health and safety hazard to children in care. 8 9 10 11 12 13 14Facility to send a copy of staff person's termination letter and a copy of the staff meeting agenda that addresed this topic. Send a copy to the licensing office by 3/15/2023. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Daniel J Oquendo LICENSING EVALUATOR NAME:Andrea Medlin LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023