KCE CHAMPIONS LLC @ WASHINGTON ELEMENTARY (SA)

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

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 November 7, 2025 at approximately 1:00PM Licensing Program Analyst, (LPA) Katie Krenn arrived at the facility for an unannounced annual inspection continuation visit. LPA met with Site Director, Nathasia Aradanas and explained the purpose of today's visit. Present at the facility in addition to the director were seven staff supervising 55 school age children. The facility is operating within capacity limits and ratio during today's visit. All staff present during the visit and staff listed on the personnel report have obtained criminal record fingerprint clearance from the Department of Social Services and are associated with this facility on Guardian. Days and hours of operation are Monday - Friday from 7:00AM to morning school bell and from after school dismissal bell until 6:30PM. This location also has full day programs during all school breaks. This program is licensed to operate in the following rooms; multipurpose room, library, and rooms #1, #2, #12, #13, #14, #15, #17, and #19. During today's visit, LPA inspected the rooms that the program currently uses which are room #17, the multipurpose room, and the library. The program also operates a preschool license on the same site, which LPA did not inspect during this visit. Site Director confirmed that there are no pools, fountains, ponds, or similar bodies of water on the property. LPA observed that required documents: such as the facility license, notification of parents’ rights, personal rights, earthquake preparedness checklist, car seat laws, and emergency disaster plan, were available for review in classroom 17. LPA observed the notice of site visit posted in a prominent place where parents pick up their children. continued on page 2 NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo NAME OF LICENSING PROGRAM ANALYST: Katie Krenn LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/07/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2025 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 6 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

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 November 7, 2025 at approximately 1:00PM Licensing Program Analyst, (LPA) Katie Krenn arrived at the facility for an unannounced annual inspection continuation visit. LPA met with Site Director, Nathasia Aradanas and explained the purpose of today's visit. Present at the facility in addition to the director were seven staff supervising 55 school age children. The facility is operating within capacity limits and ratio during today's visit. All staff present during the visit and staff listed on the personnel report have obtained criminal record fingerprint clearance from the Department of Social Services and are associated with this facility on Guardian. Days and hours of operation are Monday - Friday from 7:00AM to morning school bell and from after school dismissal bell until 6:30PM. This location also has full day programs during all school breaks. This program is licensed to operate in the following rooms; multipurpose room, library, and rooms #1, #2, #12, #13, #14, #15, #17, and #19. During today's visit, LPA inspected the rooms that the program currently uses which are room #17, the multipurpose room, and the library. The program also operates a preschool license on the same site, which LPA did not inspect during this visit. Site Director confirmed that there are no pools, fountains, ponds, or similar bodies of water on the property. LPA observed that required documents: such as the facility license, notification of parents’ rights, personal rights, earthquake preparedness checklist, car seat laws, and emergency disaster plan, were available for review in classroom 17. LPA observed the notice of site visit posted in a prominent place where parents pick up their children. continued on page 2 NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo NAME OF LICENSING PROGRAM ANALYST: Katie Krenn LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/07/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2025 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 6 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