FAMILY CAMPUS PRESCHOOL

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 12/3/2025, Licensing Program Analyst (LPA) K. Trinh conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPA met with Facility Representatives, Sarah Pham and Victoria Hernandez. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 43 preschool children, and 7 preschool staff members present. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Department received an incident report on 11/13/2025 stating that on 10/14/2025, some staff mentioned that Staff 1 (S1) was aggressive toward Child 1 (C1) when they were redirecting C1 in the classroom. Human Resources (HR) spoke with all staff and reviewed the camera footage from 10/14/2025. HR then shared the video footage to Program Director, Sarah Pham, Site Supervisor, Victoria Hernandez, and the Vice President. On 11/20/2025, LPA conducted an unannounced case management inspection. LPA obtained pertinent documents and conducted interviews with five staff and two children. Two out of five staff interviewed stated that they observed S1 holding down C1. One staff member shared that they were present during the incident and Staff 4 (S4) observed S1 screaming at C1 more than once and holding down C1’s arms and legs. (Go to page 2) NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/03/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2025 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 5 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 licen

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 12/3/2025, Licensing Program Analyst (LPA) K. Trinh conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPA met with Facility Representatives, Sarah Pham and Victoria Hernandez. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 43 preschool children, and 7 preschool staff members present. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Department received an incident report on 11/13/2025 stating that on 10/14/2025, some staff mentioned that Staff 1 (S1) was aggressive toward Child 1 (C1) when they were redirecting C1 in the classroom. Human Resources (HR) spoke with all staff and reviewed the camera footage from 10/14/2025. HR then shared the video footage to Program Director, Sarah Pham, Site Supervisor, Victoria Hernandez, and the Vice President. On 11/20/2025, LPA conducted an unannounced case management inspection. LPA obtained pertinent documents and conducted interviews with five staff and two children. Two out of five staff interviewed stated that they observed S1 holding down C1. One staff member shared that they were present during the incident and Staff 4 (S4) observed S1 screaming at C1 more than once and holding down C1’s arms and legs. (Go to page 2) NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/03/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2025 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 5 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 licen

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 12/3/2025, Licensing Program Analyst (LPA) K. Trinh conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPA met with Facility Representatives, Sarah Pham and Victoria Hernandez. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 43 preschool children, and 7 preschool staff members present. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Department received an incident report on 11/13/2025 stating that on 10/14/2025, some staff mentioned that Staff 1 (S1) was aggressive toward Child 1 (C1) when they were redirecting C1 in the classroom. Human Resources (HR) spoke with all staff and reviewed the camera footage from 10/14/2025. HR then shared the video footage to Program Director, Sarah Pham, Site Supervisor, Victoria Hernandez, and the Vice President. On 11/20/2025, LPA conducted an unannounced case management inspection. LPA obtained pertinent documents and conducted interviews with five staff and two children. Two out of five staff interviewed stated that they observed S1 holding down C1. One staff member shared that they were present during the incident and Staff 4 (S4) observed S1 screaming at C1 more than once and holding down C1’s arms and legs. (Go to page 2) NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/03/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2025 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 5 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 licen

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 12/3/2025, Licensing Program Analyst (LPA) K. Trinh conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPA met with Facility Representatives, Sarah Pham and Victoria Hernandez. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 43 preschool children, and 7 preschool staff members present. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The Department received an incident report on 11/13/2025 stating that on 10/14/2025, some staff mentioned that Staff 1 (S1) was aggressive toward Child 1 (C1) when they were redirecting C1 in the classroom. Human Resources (HR) spoke with all staff and reviewed the camera footage from 10/14/2025. HR then shared the video footage to Program Director, Sarah Pham, Site Supervisor, Victoria Hernandez, and the Vice President. On 11/20/2025, LPA conducted an unannounced case management inspection. LPA obtained pertinent documents and conducted interviews with five staff and two children. Two out of five staff interviewed stated that they observed S1 holding down C1. One staff member shared that they were present during the incident and Staff 4 (S4) observed S1 screaming at C1 more than once and holding down C1’s arms and legs. (Go to page 2) NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Kathy Trinh LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/03/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2025 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 5 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 licen

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

Type B citation - potential risk if not corrected