ISLA VISTA YOUTH PROJECT INC AKA LEAP

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

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 12th at 8:45 am, Licensing Program Analyst (LPA) Brian Fung made an unannounced inspection for the purpose of conducting a Case Management inspection. LPA met with Site Supervisor Meghan Stallworth to discuss an incident that was self-reported to Community Care Licensing Division (CCLD) office by phone on 12/11/2025. LPA toured the area/classroom where the incident occurred and interviewed site supervisor and 2 teaching staff. At 9:30 am, LPA conducted interviews with site supervisor and S1 and S2 to obtain information of the incident. Based on interviews, it was found that the child was left unattended in the classroom for 19 minutes resulting to an absent of supervision during rest time. During the interview, it was found that stacks of chairs were blocking the visual observance of the child sleeping while transition the children to outdoor play time. During today’s inspection, an immediate risk was found for absent of supervision. A type A violation was cited for today's inspection with an immediate civil penalty. LPA Brian Fung informed site supervisor Meghan Stallworth that this report dated 12/12/2025 document(s) 1 Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Brian Fung informed the site supervisor to provide a copy of this licensing report dated 12/12/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. NAME OF LICENSING PROGRAM MANAGER: Susana Martinez NAME OF LICENSING PROGRAM ANALYST: Brian Fung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2025 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 corresponde

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 12th at 8:45 am, Licensing Program Analyst (LPA) Brian Fung made an unannounced inspection for the purpose of conducting a Case Management inspection. LPA met with Site Supervisor Meghan Stallworth to discuss an incident that was self-reported to Community Care Licensing Division (CCLD) office by phone on 12/11/2025. LPA toured the area/classroom where the incident occurred and interviewed site supervisor and 2 teaching staff. At 9:30 am, LPA conducted interviews with site supervisor and S1 and S2 to obtain information of the incident. Based on interviews, it was found that the child was left unattended in the classroom for 19 minutes resulting to an absent of supervision during rest time. During the interview, it was found that stacks of chairs were blocking the visual observance of the child sleeping while transition the children to outdoor play time. During today’s inspection, an immediate risk was found for absent of supervision. A type A violation was cited for today's inspection with an immediate civil penalty. LPA Brian Fung informed site supervisor Meghan Stallworth that this report dated 12/12/2025 document(s) 1 Type A citation. Type A citation(s) which shall be posted for 30 consecutive days as an immediate risk to the health, safety, or personal rights of children in care. Also, LPA Brian Fung informed the site supervisor to provide a copy of this licensing report dated 12/12/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. NAME OF LICENSING PROGRAM MANAGER: Susana Martinez NAME OF LICENSING PROGRAM ANALYST: Brian Fung LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2025 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 corresponde