LEUSD MACHADO 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 December 9, 2024, at 10:45 am, Licensing Program Analysts (LPA) William Chancellor arrived unannounced to the facility for a case management visit, to follow up on an unusual incident report (UIR) dated 11/7/24. LPA was greeted by the LEUSD school principal and the site Supervisor (S2), Claudia Leon was contacted. Upon arrival, S2 was notified of reason for case management visit. The facility self reported that staff (S1) witnessed staff (S4) mishandling of students. The UIR additionally reported, S4 was witnessed yelling and being forceful with students during nap time. LPA interviewed Supervisor, (S2) Claudia Leon, two additional staff that witnessed (S1 and S2) and LPA attempted to interview child (C1). The interview with S2 revealed S4 was placed on Administrative Leave immediately after being notified of the incident. LPA confirmed that S4 is no longer associated to the facility as of 11/7/24. The facility is being cited for Title 22 Regulation Section 101223 (a)(3). See LIC 809D for cited deficiency. An exit interview was conducted, a copy of this report and appeal rights were reviewed and provided to Supervisor Claudia Leon. A notice of site visit was also provided and must remain posted for 30 days. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: William M Chancellor Jr. LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024 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: LEUSD MACHADO PRESCHOOL FACILITY NUMBER: 330910580 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/09/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/09/2025 Section Cited CCR 101223(a)(3) 1 2 3 4 5 6 7(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... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Supervisor will email LPA supporting documentation from Mental Health Supervisor and Instructional Coach on supervision and redirection training for all staff including personal rights and reporting requirements. LPA confirmed that S4 is no longer associated to LEUSD as of 11/7/24. 8 9 10 11 12 13 14Based on three of three interviews and record review, it was confirmed that C1 was forcefully grabbed and yelled at by S4. Which poses a potential health, safety and or personal rights risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Pauline Beschorner LICENSING EVALUATOR NAME:William M Chancellor Jr. LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024

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 December 9, 2024, at 10:45 am, Licensing Program Analysts (LPA) William Chancellor arrived unannounced to the facility for a case management visit, to follow up on an unusual incident report (UIR) dated 11/7/24. LPA was greeted by the LEUSD school principal and the site Supervisor (S2), Claudia Leon was contacted. Upon arrival, S2 was notified of reason for case management visit. The facility self reported that staff (S1) witnessed staff (S4) mishandling of students. The UIR additionally reported, S4 was witnessed yelling and being forceful with students during nap time. LPA interviewed Supervisor, (S2) Claudia Leon, two additional staff that witnessed (S1 and S2) and LPA attempted to interview child (C1). The interview with S2 revealed S4 was placed on Administrative Leave immediately after being notified of the incident. LPA confirmed that S4 is no longer associated to the facility as of 11/7/24. The facility is being cited for Title 22 Regulation Section 101223 (a)(3). See LIC 809D for cited deficiency. An exit interview was conducted, a copy of this report and appeal rights were reviewed and provided to Supervisor Claudia Leon. A notice of site visit was also provided and must remain posted for 30 days. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: William M Chancellor Jr. LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024 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: LEUSD MACHADO PRESCHOOL FACILITY NUMBER: 330910580 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/09/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/09/2025 Section Cited CCR 101223(a)(3) 1 2 3 4 5 6 7(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... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Supervisor will email LPA supporting documentation from Mental Health Supervisor and Instructional Coach on supervision and redirection training for all staff including personal rights and reporting requirements. LPA confirmed that S4 is no longer associated to LEUSD as of 11/7/24. 8 9 10 11 12 13 14Based on three of three interviews and record review, it was confirmed that C1 was forcefully grabbed and yelled at by S4. Which poses a potential health, safety and or personal rights risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Pauline Beschorner LICENSING EVALUATOR NAME:William M Chancellor Jr. LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024

Type B citation - potential risk if not corrected