FERNDALE CHILDREN'S CENTER

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 25LPA Lynch visited the center for the purpose of a follow-up case management visit regarding a self-reported incident initially reported on 04/11/25. Facility representatives stated a teacher grabbed a child by his collar to stop him from potentially injuring himself and others and child tripped and fell to the floor. Facility representatives provided written staff accounts to both Licensing and the local police department. It was revealed that staff witness accounts of the incident were all differing in details of the former lead teacher allegedly using inappropriate verbal and physical discipline for child in attendance. It was also revealed that the child did not sustain injuries from the incident and also trips and falls on his own regularly per witness interviews from the police report. Facility representatives stated they spoke with the parent immediately after the incident, and the child did not leave after the incident and remained in care. LPA also conducted interviews with facility representatives and parents, and no further disclosures were made regarding witness accounts of former lead teacher yelling or grabbing children. Based on interviews and records review, LPA found there was an inappropriate level of discipline by staff for a child at the center. The following deficiency is being cited on the LIC809-D. Exit interview conducted and report was reviewed with the Administrator Dannielle Petersen. Notice of site visit posted, and appeal rights were provided. NAME OF LICENSING PROGRAM MANAGER: Erin Virrueta NAME OF LICENSING PROGRAM ANALYST: Kiriko Lynch LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 3 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 licensing agen

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25LPA Lynch visited the center for the purpose of a follow-up case management visit regarding a self-reported incident initially reported on 04/11/25. Facility representatives stated a teacher grabbed a child by his collar to stop him from potentially injuring himself and others and child tripped and fell to the floor. Facility representatives provided written staff accounts to both Licensing and the local police department. It was revealed that staff witness accounts of the incident were all differing in details of the former lead teacher allegedly using inappropriate verbal and physical discipline for child in attendance. It was also revealed that the child did not sustain injuries from the incident and also trips and falls on his own regularly per witness interviews from the police report. Facility representatives stated they spoke with the parent immediately after the incident, and the child did not leave after the incident and remained in care. LPA also conducted interviews with facility representatives and parents, and no further disclosures were made regarding witness accounts of former lead teacher yelling or grabbing children. Based on interviews and records review, LPA found there was an inappropriate level of discipline by staff for a child at the center. The following deficiency is being cited on the LIC809-D. Exit interview conducted and report was reviewed with the Administrator Dannielle Petersen. Notice of site visit posted, and appeal rights were provided. NAME OF LICENSING PROGRAM MANAGER: Erin Virrueta NAME OF LICENSING PROGRAM ANALYST: Kiriko Lynch LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 3 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 licensing agen