NOAH'S PLACE LA-WESTERN

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 25On 6/19/25, Licensing Program Analysts (LPAs) L. Voong and T. Tran conducted an unannounced case management-incident visit at the above facility. LPAs announced the purpose of today’s visit and were granted into the facility by the Director, Yesenia Baltazar-Cardenas and toured the facility. There were no children present during today’s inspection. The facility submitted a written UIR to the department on 6/6/25 regarding an incident that occurred on 6/5/25. On June 6, 2025, the facility submitted a UIR, stating that child was left unsupervised outside. A staff (S4) found child (C1) to and returned C1 to classroom. During today's visit LPA Voong conducted interviews with staff and LPA Tran reviewed children and staff files. LPAs reviewed video surveillance and obtained Summary of Actions report/document and other pertinent information. Based on the facts presented and the information gathered during the interviews and video surveillance, on 6/5/25, there were 9 children with three staff in the toddler yard. There were also two other classes outside: infant and preschool in separate play yards. Around 11:00am, during the transition from outside to inside, C1 was left outside alone while three staff and the rest of the children went into the classroom. C1 was left outside at the play area for about 6 minutes and was found alone by the preschool teacher. According to the available information, this incident was the result of a Title 22 violation for lack of care and supervision. Facility conducted a staff meeting/training to discuss proper care and supervision during transition time. The copy of the agenda of the meeting/training regarding care and supervision and the list of attendees with their signatures were provided to LPAs on today’s visit. ................................................... Page 1 of 2 ....................................................... NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs NAME OF LICENSING PROGRAM ANALYST: Linda Voong LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2025 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. Applican

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 6/19/25, Licensing Program Analysts (LPAs) L. Voong and T. Tran conducted an unannounced case management-incident visit at the above facility. LPAs announced the purpose of today’s visit and were granted into the facility by the Director, Yesenia Baltazar-Cardenas and toured the facility. There were no children present during today’s inspection. The facility submitted a written UIR to the department on 6/6/25 regarding an incident that occurred on 6/5/25. On June 6, 2025, the facility submitted a UIR, stating that child was left unsupervised outside. A staff (S4) found child (C1) to and returned C1 to classroom. During today's visit LPA Voong conducted interviews with staff and LPA Tran reviewed children and staff files. LPAs reviewed video surveillance and obtained Summary of Actions report/document and other pertinent information. Based on the facts presented and the information gathered during the interviews and video surveillance, on 6/5/25, there were 9 children with three staff in the toddler yard. There were also two other classes outside: infant and preschool in separate play yards. Around 11:00am, during the transition from outside to inside, C1 was left outside alone while three staff and the rest of the children went into the classroom. C1 was left outside at the play area for about 6 minutes and was found alone by the preschool teacher. According to the available information, this incident was the result of a Title 22 violation for lack of care and supervision. Facility conducted a staff meeting/training to discuss proper care and supervision during transition time. The copy of the agenda of the meeting/training regarding care and supervision and the list of attendees with their signatures were provided to LPAs on today’s visit. ................................................... Page 1 of 2 ....................................................... NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs NAME OF LICENSING PROGRAM ANALYST: Linda Voong LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2025 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. Applican