TUTOR TIME CHILD CARE/LEARNING CENTER

Based on interviews, the licensee did not comply with the section cited above in that, Child 1 (C1) was in the play yard without staff supervision, which poses an immediate health, safety or personal rights risk to persons in care.

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

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

Type B citation - potential risk if not corrected

(a)(3) Personal Rights (a) The licensee shall ensure that each child is accorded the following rights: (3) To be free from … infliction of pain, humiliation, intimidation, ridicule, coercion, threat, … The regulation above was not met as evidenced by: Based on interview statements, the reuglation was not met. S2 admitted they grabbed C1 by the hand, held C1 from behind, and picked up C1. S4 admitted she/he threatened C1 to coerce C1 into compliance. This poses an immediate risk to the safety and personal rights of clients.

Type B citation - potential risk if not corrected

Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by: Based on lab report analysis water from faucet E (10.0 parts per billion). These faucets samples taken on 05/06/2022 indicate levels of lead in exceedance.

.8595(c)(1) A licensed facility shall provide to the parents or guardians of each child copies of any licensing report that documents any Type A citation. The licensee did not comply with the regulation above as evidenced by: Based on observations, interview statements, and records review, the licensee did not meet the regulation above, which poses/posed a potential risk to children in care. The licensee did not provided a copy of a licensing report dated 6/26/24 to parents until 7/1/24

(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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 10/10/2025 at approximately 12:55 p.m., Licensing Program Analyst (LPA) S. Jung conducted an unannounced Case Management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Cynthia Moreno. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 44 preschool children and four (4) staff members present. Hours of operation are Monday through Friday 7:00 a.m. to 6:00 p.m. 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. An Unusual Incident Report (UIR) was submitted to the Department on 10/07/2025 reporting an incident with Child 1 (C1). The facility reported that on 10/06/2025, C1 was in the play yard without staff supervision. On 10/10/2025, LPA visited the facility and conducted three (3) staff interviews. Staff 1 (S1) and Staff 2 (S2) stated that C1 was left on the play yard alone after their class’s outdoor play time. C1’s teacher had lined up all the children by the wall as usual after playing then walked the class inside. Once returning to the classroom, it is the facility’s protocol to complete Face-to-Name to ensure that all children are accounted for. However, C1’s teacher did not complete Face-to-Name and did not realize that C1 did not come into the classroom. According to staff interviews, Staff 3 (S3) saw through their classroom window that C1 was sitting in the play yard alone. S3 took their class outside to bring C1 inside. (Go to Page 2) NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran NAME OF LICENSING PROGRAM ANALYST: Soo Jin Jung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 4 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 informatio

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

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

Type B citation - potential risk if not corrected

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

Type B citation - potential risk if not corrected

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

Type B citation - potential risk if not corrected