DOROTHY AHRENS NURSERY SCHOOL

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 32been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation Title 22, Division 12, Chapter 1, Article 6, Section 101223(a)(3) is being cited on the attached LIC 9099D LPA R. Derraco informed licensee Nancy Ahrens that this report dated 09/28/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA R. Derraco informed the licensee Nancy Ahrens to provide a copy of this licensing report dated 09/28/23 that documents any Type A citation 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. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100 Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Nancy Ahrens SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023 FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOLFACILITY NUMBER: 191601818 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (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...This requirement is not met as evidenced by: 1 2 3 4 5 6 7Licensee will require S2 to take online courses using website www.continued.com on how to deal with children exhibiting challenging behavior. Licenseel states S2 will continue to have a teacher aide in the classroom at all times. Licensee will email LPA a copy of the completion certificate. 8 9 10 11 12 13 14Based on observation, interview and record review, the S2 did not ensure each child to be free from coporal or unusual punishment which poses an immediate Health, safety and/or personal rights risk to persons 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. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023

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 32been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation Title 22, Division 12, Chapter 1, Article 6, Section 101223(a)(3) is being cited on the attached LIC 9099D LPA R. Derraco informed licensee Nancy Ahrens that this report dated 09/28/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA R. Derraco informed the licensee Nancy Ahrens to provide a copy of this licensing report dated 09/28/23 that documents any Type A citation 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. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100 Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Nancy Ahrens SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023 FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOLFACILITY NUMBER: 191601818 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (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...This requirement is not met as evidenced by: 1 2 3 4 5 6 7Licensee will require S2 to take online courses using website www.continued.com on how to deal with children exhibiting challenging behavior. Licenseel states S2 will continue to have a teacher aide in the classroom at all times. Licensee will email LPA a copy of the completion certificate. 8 9 10 11 12 13 14Based on observation, interview and record review, the S2 did not ensure each child to be free from coporal or unusual punishment which poses an immediate Health, safety and/or personal rights risk to persons 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. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023

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 32been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation Title 22, Division 12, Chapter 1, Article 6, Section 101223(a)(3) is being cited on the attached LIC 9099D LPA R. Derraco informed licensee Nancy Ahrens that this report dated 09/28/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA R. Derraco informed the licensee Nancy Ahrens to provide a copy of this licensing report dated 09/28/23 that documents any Type A citation 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. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100 Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Nancy Ahrens SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023 FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOLFACILITY NUMBER: 191601818 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (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...This requirement is not met as evidenced by: 1 2 3 4 5 6 7Licensee will require S2 to take online courses using website www.continued.com on how to deal with children exhibiting challenging behavior. Licenseel states S2 will continue to have a teacher aide in the classroom at all times. Licensee will email LPA a copy of the completion certificate. 8 9 10 11 12 13 14Based on observation, interview and record review, the S2 did not ensure each child to be free from coporal or unusual punishment which poses an immediate Health, safety and/or personal rights risk to persons 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. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023

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 32been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation Title 22, Division 12, Chapter 1, Article 6, Section 101223(a)(3) is being cited on the attached LIC 9099D LPA R. Derraco informed licensee Nancy Ahrens that this report dated 09/28/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA R. Derraco informed the licensee Nancy Ahrens to provide a copy of this licensing report dated 09/28/23 that documents any Type A citation 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. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100 Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Nancy Ahrens SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023 FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOLFACILITY NUMBER: 191601818 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/29/2023 Section Cited CCR 101223(a)(3)1 2 3 4 5 6 7101223 Personal Rights (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...This requirement is not met as evidenced by: 1 2 3 4 5 6 7Licensee will require S2 to take online courses using website www.continued.com on how to deal with children exhibiting challenging behavior. Licenseel states S2 will continue to have a teacher aide in the classroom at all times. Licensee will email LPA a copy of the completion certificate. 8 9 10 11 12 13 14Based on observation, interview and record review, the S2 did not ensure each child to be free from coporal or unusual punishment which poses an immediate Health, safety and/or personal rights risk to persons 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. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Randy Derraco LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023

Type B citation - potential risk if not corrected