COZY CUBS INC.

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - 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 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

Type B citation - potential risk if not corrected

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 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

Type A citation - immediate risk to health, safety, or personal rights

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Type B deficienies were cited today. Type B deficiencies if not corrected poses a potential risk to the health, safety or personal rights of children in care. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative, Elizabeth Hann. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025 FACILITY NAME: COZY CUBS INC.FACILITY NUMBER: 376701378 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 03/11/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/11/2025 Section Cited CCR 101239(e)(4)1 2 3 4 5 6 7FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES. All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition... This requirement was not met as evidenced by: 1 2 3 4 5 6 7Ms. Hann stated that the facility closed on 3/5/2025. Facility re-opened on 3/6/2025 and found out that there was still issue with the pressure. Children were using hand sanitizer and buckets of water to flush the toilet. This issue was temporarily resolved, via bypassing pipe using a industrial hose going into the building. 8 9 10 11 12 13 14Based on interviews, it was determined that the facility did not have running water on 3/5/2025 & 3/6/2025. Facility closed on 3/5/2025, however the next day 3/6/2025, there was insufficient water pressure for handwashing or to flush the toilet. 8 9 10 11 12 13 14 LPA observed that the toilets flushed and that there was running water for handwashing. Facility is currently working with maintenance personnel to repair the pipe. Moving forward, the facility will close operation if water is not delivering enough pressure. Type B 03/11/2025 Section Cited CCR 101212(d)(1)(C)1 2 3 4 5 6 7REPORTING REQUIREMENTS. Upon the occurrence, during the operation of the child care center of any of the events...Any unusual incident... This requirement was not met as evidenced by:1 2 3 4 5 6 7Ms. Han stated that she will report to the department immediately when an unusual incident occur. She also stated that she will contact Duty Line to determine if incidents are reportable or not. 8 9 10 11 12 13 14Based on interviews, licensee failed to report to the department that the facility closed down on 3/5/2025 due to a broken pipe resulting to insufficient water being delivered to the building. Facility also did not have sufficient running water part of the day on 3/6/2025. 8 9 10 11 12 13 14 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Nancy Diaz LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025