PLAZA DE LA RAZA C.D.S.- MAIZELAND

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) Roxana Lopez conducted an unannounced Case Management inspection due to two incidents that were reported to the Department. LPA met with Site Supervisor Patty Arrua who guided LPA on a tour of the facility. Census was taken. On June 4th, 2025, an incident was self reported to the Department via Email by the facility who reported that child # 1 jumped off a chair outside landing on their elbow. On September 25th ,2025 an incident was self reported to the Department via Email by the facility who reported that on September 24th, 2025 child # 2 was running tripped and fell hitting their forehead on a the wooden part of a children's couch. Reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department. During the inspection, LPA Lopez conducted interviews with Site Director and staff. Regarding the incident reported on June 4th, 2025- interviews corroborated that incident was observed- during outdoor time child # 1 was playing on the colorful block chairs- child climbed and jumped off the chair landing on elbow. Ice pack was applied and parents were called. Parents took child to the doctor- it was determined that child had a fracture elbow. Child returned to school with restrictions. Staff continue to remind children of the rules and appropriate use of furniture. ------------------------------------------------- pg. 1 of 2 ------------------------------------------------------------------- NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten NAME OF LICENSING PROGRAM ANALYST: Roxana Lopez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/02/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2025 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 PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all

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) Roxana Lopez conducted an unannounced Case Management inspection due to two incidents that were reported to the Department. LPA met with Site Supervisor Patty Arrua who guided LPA on a tour of the facility. Census was taken. On June 4th, 2025, an incident was self reported to the Department via Email by the facility who reported that child # 1 jumped off a chair outside landing on their elbow. On September 25th ,2025 an incident was self reported to the Department via Email by the facility who reported that on September 24th, 2025 child # 2 was running tripped and fell hitting their forehead on a the wooden part of a children's couch. Reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department. During the inspection, LPA Lopez conducted interviews with Site Director and staff. Regarding the incident reported on June 4th, 2025- interviews corroborated that incident was observed- during outdoor time child # 1 was playing on the colorful block chairs- child climbed and jumped off the chair landing on elbow. Ice pack was applied and parents were called. Parents took child to the doctor- it was determined that child had a fracture elbow. Child returned to school with restrictions. Staff continue to remind children of the rules and appropriate use of furniture. ------------------------------------------------- pg. 1 of 2 ------------------------------------------------------------------- NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten NAME OF LICENSING PROGRAM ANALYST: Roxana Lopez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/02/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2025 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 PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all

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) Roxana Lopez conducted an unannounced Case Management inspection due to two incidents that were reported to the Department. LPA met with Site Supervisor Patty Arrua who guided LPA on a tour of the facility. Census was taken. On June 4th, 2025, an incident was self reported to the Department via Email by the facility who reported that child # 1 jumped off a chair outside landing on their elbow. On September 25th ,2025 an incident was self reported to the Department via Email by the facility who reported that on September 24th, 2025 child # 2 was running tripped and fell hitting their forehead on a the wooden part of a children's couch. Reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department. During the inspection, LPA Lopez conducted interviews with Site Director and staff. Regarding the incident reported on June 4th, 2025- interviews corroborated that incident was observed- during outdoor time child # 1 was playing on the colorful block chairs- child climbed and jumped off the chair landing on elbow. Ice pack was applied and parents were called. Parents took child to the doctor- it was determined that child had a fracture elbow. Child returned to school with restrictions. Staff continue to remind children of the rules and appropriate use of furniture. ------------------------------------------------- pg. 1 of 2 ------------------------------------------------------------------- NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten NAME OF LICENSING PROGRAM ANALYST: Roxana Lopez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/02/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2025 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 PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all

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) Roxana Lopez conducted an unannounced Case Management inspection due to two incidents that were reported to the Department. LPA met with Site Supervisor Patty Arrua who guided LPA on a tour of the facility. Census was taken. On June 4th, 2025, an incident was self reported to the Department via Email by the facility who reported that child # 1 jumped off a chair outside landing on their elbow. On September 25th ,2025 an incident was self reported to the Department via Email by the facility who reported that on September 24th, 2025 child # 2 was running tripped and fell hitting their forehead on a the wooden part of a children's couch. Reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incident reported to the Department. During the inspection, LPA Lopez conducted interviews with Site Director and staff. Regarding the incident reported on June 4th, 2025- interviews corroborated that incident was observed- during outdoor time child # 1 was playing on the colorful block chairs- child climbed and jumped off the chair landing on elbow. Ice pack was applied and parents were called. Parents took child to the doctor- it was determined that child had a fracture elbow. Child returned to school with restrictions. Staff continue to remind children of the rules and appropriate use of furniture. ------------------------------------------------- pg. 1 of 2 ------------------------------------------------------------------- NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten NAME OF LICENSING PROGRAM ANALYST: Roxana Lopez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/02/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2025 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 PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all