ECS 4TH AND D HEAD START

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024

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

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024

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 6/7/2024, at 10:00 a.m., Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced Case Management inspection to follow upon on the Unusual Incident reported to the Department on 6/3/2024. Upon arrival, LPA met with Area Supervisor Cecilia Evans-Hernandez and discussed the purpose of the inspection. LPA was led on a tour of the facility. There were 13 children present and 8 staff during the inspection. Based on interviews conducted and review of medical reports and facility notes, it was determined that on 5/22/24 and 6/3/24 Child #1 suffered a seizure during nap time in classroom 1A. Seizure was observed by facility staff (S1, S2, and S3). LPA requested video footage of the incidents. Child's mother was immediately telephoned and advised of both incidents. Child was taken to Rady's Children's Hospital after both incidents and was cleared to return to the facility. LPA obtained copies of the medical reports. Facility reported the incident of 6/3/24 to the licensing office in a timely manner but not the initial incident of 5/22/24. Parent requested that 911 not be called during first incident, but facility did call 911 during second incident. Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type B citation is being cited on the attached LIC 809-D. Exit interview conducted and report was reviewed with the facility representative, Cecilia Evans-Hernandez. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024 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: ECS 4TH AND D HEAD START FACILITY NUMBER: 376700787 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/17/2024 Section Cited CCR 101212(d)(1)(C) 1 2 3 4 5 6 7101212 Reporting Requirements (d) Upon the occurrence "... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours." In addition, a written report "... shall be submitted to the Department within seven days following1 2 3 4 5 6 7Area Supervisor will submit LIC624b to the Licesning Office regarding inital incident of 5/22/24 by POC date. Area Supervisor will hold meeting with facility managment to discuss required reporting requirements. Area Supervisor will submit meeting minutes. 8 9 10 11 12 13 14the occurrence of such event." This requirement was not met as evidenced by facility not reporting to the Licensing Office that C1 suffered a seizure whie in care. This may pose a threat to the health and safety of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024