NOVATO PARENTS NURSERY SCHOOL, INC

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 5/9/2025, at approximately 1:20PM, Licensing Program Analysts (LPAs) Tran and Garcia conducted an unannounced case management visit regarding a self-reported incident. LPAs met with Director, Alison Clare Burns, and explained the purpose of the visit. Present during the visit was one staff and zero children. The facility closes at 1:00PM on Fridays. The facility reported an incident that occurred on 4/17/2025 involving a child hiding in a play structure and being unaccounted for during a transition period. Per Director, the child was not in distress when found. LPAs toured the outdoor play area with the Director. There is a large area separated by a fence to create two zones. Per Director, each zone generally has one teacher and two parents supervising at all times. There is also a clipboard in each area so adults can verify which kids are present the day of. After the incident, the Director has implemented new protocols such as only having teachers facilitate transition periods and having more ratio/counting check-ins amongst them. The Director also met with parents and reminded them the importance of active and visual supervision to prevent similar future incidents. Based on interview and information gathered during the visit, it is confirmed that there was a lack of supervision on the day of the incident. Type B deficiency will be issued for lack of supervision. A notice of site visit was provided 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 and report was reviewed with Director, Alison Clare Burns. NAME OF LICENSING PROGRAM MANAGER: Ali Zebila NAME OF LICENSING PROGRAM ANALYST: Nicole Tran LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 3 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 correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL

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 5/9/2025, at approximately 1:20PM, Licensing Program Analysts (LPAs) Tran and Garcia conducted an unannounced case management visit regarding a self-reported incident. LPAs met with Director, Alison Clare Burns, and explained the purpose of the visit. Present during the visit was one staff and zero children. The facility closes at 1:00PM on Fridays. The facility reported an incident that occurred on 4/17/2025 involving a child hiding in a play structure and being unaccounted for during a transition period. Per Director, the child was not in distress when found. LPAs toured the outdoor play area with the Director. There is a large area separated by a fence to create two zones. Per Director, each zone generally has one teacher and two parents supervising at all times. There is also a clipboard in each area so adults can verify which kids are present the day of. After the incident, the Director has implemented new protocols such as only having teachers facilitate transition periods and having more ratio/counting check-ins amongst them. The Director also met with parents and reminded them the importance of active and visual supervision to prevent similar future incidents. Based on interview and information gathered during the visit, it is confirmed that there was a lack of supervision on the day of the incident. Type B deficiency will be issued for lack of supervision. A notice of site visit was provided 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 and report was reviewed with Director, Alison Clare Burns. NAME OF LICENSING PROGRAM MANAGER: Ali Zebila NAME OF LICENSING PROGRAM ANALYST: Nicole Tran LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 3 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 correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL

Type B citation - potential risk if not corrected