SIERRA ENTERPRISE ELEMENTARY SCHOOL

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) Kyrsten Williams met with facility representative, Josephine Patria Lal for an unannounced case management inspection to discuss the Unusual Incident Report (UIR) that the facility submitted on 1/17/2025. The purpose of the inspection was explained. Census included sixteen children being supervised by four staff. The UIR stated on 1/14/2025, a preschool child was left outside on the play yard without supervision. During today’s inspection, LPA toured the facility and interviewed staff. LPA learned from interviews with staff that after transitioning children from outside back inside, a staff noticed one child in their group was not seated at the table. The staff opened the door to the playground and the child was standing right by the door. Staff stated the child was left outside for approximately one to two minutes. After discussing incident report, LPA has concluded that there was a lapse in care and supervision. The facility representative stated the parent of the child was notified of the incident. After all children left for the day, staff received direct re-training from program specialist on effective safety and supervision. The instructor has submitted a new safety and supervision plan, a new zoning map, and implemented a roll call sheet when going outside. A deficiency is cited on the subsequent page of this report (LIC809-D) under the California Code of Regulations, Title 22. The facility representative was provided a copy of their Appeal Rights (LIC9058) and the facility representative's signature on this form acknowledges receipt of these rights. LPA Williams informed the facility representative to provide a copy of this licensing report dated 01/23/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the facility representative, Josephine Patria Lal. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Kyrsten Williams LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025 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 2 FACILITY NAME: SIERRA ENTERPRISE ELEMENTARY SCHOOL FACILITY NUMBER: 343617616 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/23/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 01/24/2025 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7Responsibility for Providing Care and Supervision 101229(a)(1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility representative stated on the day of the incident, staff received direct re-training from program specialist on effective safety and supervision. Faciltiy representative will submit meeting notes and attendance sheet with staff signatures via email by 1/24/2025. 8 9 10 11 12 13 14Based on interview, the facility did not comply with the section cited above as facility self reported a child was left unsupervised on the playground, which poses an immediate health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Seychelle De Luca LICENSING EVALUATOR NAME:Kyrsten Williams LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Kyrsten Williams met with facility representative, Josephine Patria Lal for an unannounced case management inspection to discuss the Unusual Incident Report (UIR) that the facility submitted on 1/17/2025. The purpose of the inspection was explained. Census included sixteen children being supervised by four staff. The UIR stated on 1/14/2025, a preschool child was left outside on the play yard without supervision. During today’s inspection, LPA toured the facility and interviewed staff. LPA learned from interviews with staff that after transitioning children from outside back inside, a staff noticed one child in their group was not seated at the table. The staff opened the door to the playground and the child was standing right by the door. Staff stated the child was left outside for approximately one to two minutes. After discussing incident report, LPA has concluded that there was a lapse in care and supervision. The facility representative stated the parent of the child was notified of the incident. After all children left for the day, staff received direct re-training from program specialist on effective safety and supervision. The instructor has submitted a new safety and supervision plan, a new zoning map, and implemented a roll call sheet when going outside. A deficiency is cited on the subsequent page of this report (LIC809-D) under the California Code of Regulations, Title 22. The facility representative was provided a copy of their Appeal Rights (LIC9058) and the facility representative's signature on this form acknowledges receipt of these rights. LPA Williams informed the facility representative to provide a copy of this licensing report dated 01/23/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the facility representative, Josephine Patria Lal. A notice of site visit was given and must remain posted for 30 days. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Kyrsten Williams LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025 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 2 FACILITY NAME: SIERRA ENTERPRISE ELEMENTARY SCHOOL FACILITY NUMBER: 343617616 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/23/2025 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 01/24/2025 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7Responsibility for Providing Care and Supervision 101229(a)(1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility representative stated on the day of the incident, staff received direct re-training from program specialist on effective safety and supervision. Faciltiy representative will submit meeting notes and attendance sheet with staff signatures via email by 1/24/2025. 8 9 10 11 12 13 14Based on interview, the facility did not comply with the section cited above as facility self reported a child was left unsupervised on the playground, which poses an immediate health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Seychelle De Luca LICENSING EVALUATOR NAME:Kyrsten Williams LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025

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