C.S.U.N. ASSOC. STUDENTS CHILDCARE CENTER

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 02/04/2026 at 09:25 AM, Licensing program analysts (LPAs) Brittanee Cleveland and Christina Nunez conducted an unannounced case management inspection due to a self-reported incident that occurred at the facility. LPAs met with Lena Blakeney, Director, who guided LPAs on a tour of the facility. There are 50 children in care and 18 staff. The incident that occurred on 01/13/2026, was reported to the Department on 02/02/2026, via telephone. The facility did not report the Unusual Incident to the Department within the required 24 hours of occurrence. A Type B deficiency will be issued, as this poses a potential health, safety, and personal rights risk to children in care. LPA requests that Director sends LIC624 for the unusual incident report to be submitted by 02/06/2026. Information reported to the Department stated that a child was found in the parking lot of the facility without an adult. This incident occurred in the morning during drop off. Director and Staff #1 stated that child was being dropped of by mother and when mother reached the child’s classroom, the child was not there. Staff #1 stated that mom and child may have been walking in with another family. Due to the time of the incident, child had not been checked in. Staff #1 stated that another parent found the child in the parking lot crying. This parent carried child inside. Child was recovered by receptionist. Staff #2 stated the child’s mom peeked into the classroom asking if child came inside. Staff #2 did not see the child or hear the emergency door close. When the child’s mom returned to the lobby, child was with receptionist. Child was given to mother. Child’s mother stated being concerned about the emergency exit at the end of the hallway. When parent left, the door was tested. Director stated the maintenance came to examine the door. --- Page 1 NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Brittanee Cleveland LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/04/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2026 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

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 02/04/2026 at 09:25 AM, Licensing program analysts (LPAs) Brittanee Cleveland and Christina Nunez conducted an unannounced case management inspection due to a self-reported incident that occurred at the facility. LPAs met with Lena Blakeney, Director, who guided LPAs on a tour of the facility. There are 50 children in care and 18 staff. The incident that occurred on 01/13/2026, was reported to the Department on 02/02/2026, via telephone. The facility did not report the Unusual Incident to the Department within the required 24 hours of occurrence. A Type B deficiency will be issued, as this poses a potential health, safety, and personal rights risk to children in care. LPA requests that Director sends LIC624 for the unusual incident report to be submitted by 02/06/2026. Information reported to the Department stated that a child was found in the parking lot of the facility without an adult. This incident occurred in the morning during drop off. Director and Staff #1 stated that child was being dropped of by mother and when mother reached the child’s classroom, the child was not there. Staff #1 stated that mom and child may have been walking in with another family. Due to the time of the incident, child had not been checked in. Staff #1 stated that another parent found the child in the parking lot crying. This parent carried child inside. Child was recovered by receptionist. Staff #2 stated the child’s mom peeked into the classroom asking if child came inside. Staff #2 did not see the child or hear the emergency door close. When the child’s mom returned to the lobby, child was with receptionist. Child was given to mother. Child’s mother stated being concerned about the emergency exit at the end of the hallway. When parent left, the door was tested. Director stated the maintenance came to examine the door. --- Page 1 NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Brittanee Cleveland LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/04/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2026 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