UCLA EARLY CARE AND EDUCATION-INFANTS

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

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

Type B citation - potential risk if not corrected

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 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

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 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. LPA met with Director / Alessandra Pinheiro and Center Coordinator / Rosaura Castillo who guided LPA on a tour of the facility. There were 34 children with 12 staff observed present in the infant program. During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing. Based on paperwork obtained from the Director, Staff 1 obtained a background check through UCLA and began working at the facility. However, all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. Facility failed to meet this requirement. The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. An exit interview was conducted with the Director and Appeals Rights provided. SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024 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: UCLA EARLY CARE AND EDUCATION-INFANTS FACILITY NUMBER: 191601954 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/14/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 08/16/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:1 2 3 4 5 6 7The Director shall develop a written Plan of Correction (POC) to ensure compliance with California Code of Regulations Title 22, Section 101170(e)(1) / Criminal Record Clearance. POC is due to CCL by the POC due date of 8/16/24. 8 9 10 11 12 13 14During today's visit, LPA observed Staff 1 working at the facility prior to obtaining a criminal record clearance through Community Care Licensing.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:Rita Ramos LICENSING EVALUATOR NAME:Joe Katrdzhyan LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024

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