REDEEMER LUTHERAN PRESCHOOL

Type A citation from complaint investigation - immediate risk

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 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

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 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

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 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

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 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

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 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

Type B citation - potential risk if not corrected

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 25 26 27 28 29 30 31 32Page 2 On 08/04/2023 LPA interviewed Reporting Party (RP) who stated staff made light of the situation and stated the child was fine and did not need to be picked up. RP sent LPA Emergency Room discharge diagnosis forms and a photo of C1’s injuries. During LPA’s initial visit on 08/04/2023, LPA interviewed Acting Director Kristen Schouw and Preschool Board Chair Jan Flores who joined later during LPA’s visit. Kristen stated she and Staff #2 (S2) were both in view of the children and observed C1 fall. Kristen states C1’s foot did not make it over the sandbox wall and only saw 1–2-inch cat scratch on their right cheekbone. Kristen noticed a bump begin to form and applied ice. Kristen retrieved the Ouch Report book and called C1’s parents. Kristen explained that C1 did not cry, there was no blood and their injury protocol was followed. Kristen, Preschool Board Chair Jan Flores and Director Mindy Weiss, all agreed an Unusual Incident Report did not have to be filed with the Licensing Office and only documented the incident to file internally. On 08/04/2023, during LPA’s interviews with 3 staff members, all 3 staff were able to convey their protocol for child injuries. 3 out of 3 staff stated children are checked for any visible signs of injury and apply first aid. 3 out of 3 staff members stated parents are called immediately following a head injury. On 08/22/2023, LPA conducted a subsequent visit and interviewed 7 children. All 7 children stated their teachers supervise them. 3 out of 7 children stated their teachers provide bandages. 3 children also mentioned their teachers “take care of me”, “tell me it’s going to be okay” and “make me feel better”. LPA attempted to interview 4 parents, but 2 parents were unavailable and did not return LPA’s call. 2 out of 2 parents provided positive feedback regarding the facility staff. Parents did not disclose any pertinent information related to the complaint allegation. Based on LPA’s interviews with Acting Director Kristen Schouw, 3 staff and 7 children, the preponderance of evidence standard has been met, therefore the above allegation child sustained injury while in care is substantiated. California Code of Regulations, Title 22, Division 12, 101223(a)(2) Personal Rights is being cited on the attached LIC9099D. (Continue to page 3) SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 VISIT DATE: 10/06/2023 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 32Page 3 Exit interview was conducted with Director Mindy Weiss. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. End of Report SUPERVISORS NAME: Patricia Magana LICENSING EVALUATOR NAME: Romelia M Castanon LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023 FACILITY NAME: REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER: 300606172 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 10/06/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type A 10/09/2023 Section Cited CCR 101223(a)(2)1 2 3 4 5 6 7101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by 1 2 3 4 5 6 7Director states the facility sandbox will no longer be avilable for use by children under 3 years old. Director will implement the change effective immediately and update facility staff. Director will submit copy of notification and sandbox safety procedures with signed attendance sheet by POC

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