RANCH HILLS CHILD DEVELOPMENT 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 10/16/25 Licensing Program Analyst (LPA) Kamile Martin visited the above facility to conduct a Case management visit for an injury on a child's forehead. The incident occurred on 10/1/25 and was reported to licensing on 10/6/26. LPA spoke with lead teacher Arlene Franco about child's follow up and emergency treatment. A census was taken and 16 children are in care with 3 staff and two parents in the classroom. Staff are meeting state required regulations and child ratios. LPA reviewed sign in and out sheets verifying full signatures for 16 children in care. Teacher states the Great Shake Out earthquake drill will be conducted today at 10:20am. LPA took a self guided tour of the playground where child was injured. During inspection of the playground LPA observed all climbing equipment and poles to be appropriate for childrens use. Supervision was discussed and per teacher active supervision was provided during the child's injury. Proper authorities were contacted on 10/1/25 when child was injured they include fire truck ,paramedics, parents ,principle of the school and the school nurse. Per Teacher parent declined emergency services at the time of injury. Child did not attend school the following day , office staff contact parent to follow up with a medical clearance for child to return to school . Child was seen by medical professional Nicholle Henley D,O. at Pomona Valley Health Center Urgent care. He was cleared to return to school and clearance was provided to teachers and is on file in the classroom. Child is in class today and LPA observed child to still have very light small bump on forehead. NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman NAME OF LICENSING PROGRAM ANALYST: Kamile Martin LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025 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 PENA

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 10/16/25 Licensing Program Analyst (LPA) Kamile Martin visited the above facility to conduct a Case management visit for an injury on a child's forehead. The incident occurred on 10/1/25 and was reported to licensing on 10/6/26. LPA spoke with lead teacher Arlene Franco about child's follow up and emergency treatment. A census was taken and 16 children are in care with 3 staff and two parents in the classroom. Staff are meeting state required regulations and child ratios. LPA reviewed sign in and out sheets verifying full signatures for 16 children in care. Teacher states the Great Shake Out earthquake drill will be conducted today at 10:20am. LPA took a self guided tour of the playground where child was injured. During inspection of the playground LPA observed all climbing equipment and poles to be appropriate for childrens use. Supervision was discussed and per teacher active supervision was provided during the child's injury. Proper authorities were contacted on 10/1/25 when child was injured they include fire truck ,paramedics, parents ,principle of the school and the school nurse. Per Teacher parent declined emergency services at the time of injury. Child did not attend school the following day , office staff contact parent to follow up with a medical clearance for child to return to school . Child was seen by medical professional Nicholle Henley D,O. at Pomona Valley Health Center Urgent care. He was cleared to return to school and clearance was provided to teachers and is on file in the classroom. Child is in class today and LPA observed child to still have very light small bump on forehead. NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman NAME OF LICENSING PROGRAM ANALYST: Kamile Martin LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025 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 PENA

Type B citation - potential risk if not corrected

Type A citation from complaint investigation - immediate risk