WASHINGTON/CHILD DEVELOPMENT CENTER

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 Analysts (LPA) Cynthia Reyes conducted a case management inspection due to an incident that occurred on 01/07/2026. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with Brenda Aparicia- Sub Teacher. The education supervisor Adriana Aguilar was called and spoke with LPA over the phone and stated she was not a wear of any incident that was reported to the department. LPA informed her of the incident and who called it in. Adriana stated she will contact the nurse who called it in and will have her reach out to the LPA. LPA was then contacted by phone and spoke with Alma Gaitan who is the nurse specialist for this site and the person who called the incident in on 01/09/2026. Interview was conducted with Alma and Alma then had the LPA speak with her supervisor Veronica Bravo. The facility states there was an incident with a 4 year 2 month old child that was not given her G-tube due to the nurse arriving late to the facility. Per interviews and documents reviewed and received the child is suppose to have her G-tube given at 10 AM and 1 PM and the nurse didn't arrive until about 1 30 PM, Chryanthia Vargas, LVN stated she was running late and when she arrived the child was already eating regular food with the other children and made the decision to let her continue eating The father of the child arrived shortly after and Ms. Vargas asked dad if he wanted her to still give the G-tube as the child was eating regular food and he stated no he would feed his child at home later as she was already eating cereal that he was happy with her eating the regular food, as that is art of their plan to start her slowly eating regular food. NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman NAME OF LICENSING PROGRAM ANALYST: Cynthia Reyes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/13/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2026 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 copy of any correspondence sent to the licensing agency concerning corrections, or if correct

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 Analysts (LPA) Cynthia Reyes conducted a case management inspection due to an incident that occurred on 01/07/2026. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with Brenda Aparicia- Sub Teacher. The education supervisor Adriana Aguilar was called and spoke with LPA over the phone and stated she was not a wear of any incident that was reported to the department. LPA informed her of the incident and who called it in. Adriana stated she will contact the nurse who called it in and will have her reach out to the LPA. LPA was then contacted by phone and spoke with Alma Gaitan who is the nurse specialist for this site and the person who called the incident in on 01/09/2026. Interview was conducted with Alma and Alma then had the LPA speak with her supervisor Veronica Bravo. The facility states there was an incident with a 4 year 2 month old child that was not given her G-tube due to the nurse arriving late to the facility. Per interviews and documents reviewed and received the child is suppose to have her G-tube given at 10 AM and 1 PM and the nurse didn't arrive until about 1 30 PM, Chryanthia Vargas, LVN stated she was running late and when she arrived the child was already eating regular food with the other children and made the decision to let her continue eating The father of the child arrived shortly after and Ms. Vargas asked dad if he wanted her to still give the G-tube as the child was eating regular food and he stated no he would feed his child at home later as she was already eating cereal that he was happy with her eating the regular food, as that is art of their plan to start her slowly eating regular food. NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman NAME OF LICENSING PROGRAM ANALYST: Cynthia Reyes LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/13/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2026 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 copy of any correspondence sent to the licensing agency concerning corrections, or if correct