PRESTON J. GREEN, SR., LEARNING CENTER

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 05/16/24, Licensing Program Analyst Denisia Jimenez conducted an unannounced case management inspection to discuss an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 05/03/24. LPA met with Director, Barbara Sibrian. LPA toured the facility and a census was taken. Director stated that Child #1 was climbing up the spiral stairs of the play structure and jumped onto the play structure form, missed and fell downwards. Child #1 hit his right arm going down and landed face down on the ground on his right elbow. Teacher #1 walked over to Child #1 to make sure he was fine. Child #1 was crying and couldn’t move his right arm. Child #1 was taken to the office where and ice pack and an elastic bandage was provided. Child #1 parent was called right away and parent #1 took child #1 to Valley Children’s Hospital. Child #1 has a Closed Supracondylar Fracture of Right Humerus, Closed reduction, elbow, with percutaneous pinning and cast application. Child #1 has restrictions, and a plan was reviewed with the parent. Director stated that Staff discussed and reviewed best practices safety for play structures. Also, all classroom staff will have a large group discussion outdoor safety for the play structure area. Staff will also implement safety on the playground. This appears to be an isolated incident and staff took appropriate measures to address the staff, following appropriate policies, regulations, and reporting requirements. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations no deficiency was cited during today’s inspection. (Continued on 809-C) SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Denisia Jimenez LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024 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: PRESTON J. GREEN, SR., LEARNING CENTERFACILITY NUMBER: 163801067 VISIT DATE: 05/16/2024 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Exit interview conducted with Director, Barbara Sibrian. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Denisia Jimenez LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024

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 05/16/24, Licensing Program Analyst Denisia Jimenez conducted an unannounced case management inspection to discuss an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 05/03/24. LPA met with Director, Barbara Sibrian. LPA toured the facility and a census was taken. Director stated that Child #1 was climbing up the spiral stairs of the play structure and jumped onto the play structure form, missed and fell downwards. Child #1 hit his right arm going down and landed face down on the ground on his right elbow. Teacher #1 walked over to Child #1 to make sure he was fine. Child #1 was crying and couldn’t move his right arm. Child #1 was taken to the office where and ice pack and an elastic bandage was provided. Child #1 parent was called right away and parent #1 took child #1 to Valley Children’s Hospital. Child #1 has a Closed Supracondylar Fracture of Right Humerus, Closed reduction, elbow, with percutaneous pinning and cast application. Child #1 has restrictions, and a plan was reviewed with the parent. Director stated that Staff discussed and reviewed best practices safety for play structures. Also, all classroom staff will have a large group discussion outdoor safety for the play structure area. Staff will also implement safety on the playground. This appears to be an isolated incident and staff took appropriate measures to address the staff, following appropriate policies, regulations, and reporting requirements. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations no deficiency was cited during today’s inspection. (Continued on 809-C) SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Denisia Jimenez LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024 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: PRESTON J. GREEN, SR., LEARNING CENTERFACILITY NUMBER: 163801067 VISIT DATE: 05/16/2024 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Exit interview conducted with Director, Barbara Sibrian. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Denisia Jimenez LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024

Type B citation from complaint investigation - potential risk if not corrected