KCE CHAMPIONS @ ALLEN 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 25On 10/10/2025, at 2:50 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly arrived at the facility to conduct an unannounced, case management inspection for room addition. LPAs met with interim Director, Lucas Cleary and explained the purpose of the visit. Present at the facility today are 56 school-age children with 8 staff. Per interim Director, the Site Director, Evan Bernstein, is no longer working at the facility. The program currently operates Monday through Friday 7:00 AM to 8:00 AM and 1:00 PM to 6:00 PM. The facility is currently licensed to serve 120 students out of Room #106, the school library, and the Multi-Purpose Room. The facility has requested to operate out of Room #101, #103, and #104 in addition to the already licensed spaces. Fire clearance was obtained on 6/24/2025. The school age program is exempt from requirements for indoor and outdoor space square footage, fencing, and toilet/sink ratios. No measurements were taken during the inspection. LPAs inspected Room #101, 103 and #104 for health and safety hazards. LPAs observed multiple smoke detectors, and fire extinguishers located inside of the rooms. Facility ensures solutions, poisons, and other chemicals that are dangerous to children are stored inaccessible to the children in care. LPAs observed the rooms to be added, to be clean, equipped with age-appropriate activities, materials and furniture. LPAs observed furniture to be in good repair and free of any hazards. The rooms are equipped with school district fire alarm system. Continued on Page 2 NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 applicab

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 10/10/2025, at 2:50 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly arrived at the facility to conduct an unannounced, case management inspection for room addition. LPAs met with interim Director, Lucas Cleary and explained the purpose of the visit. Present at the facility today are 56 school-age children with 8 staff. Per interim Director, the Site Director, Evan Bernstein, is no longer working at the facility. The program currently operates Monday through Friday 7:00 AM to 8:00 AM and 1:00 PM to 6:00 PM. The facility is currently licensed to serve 120 students out of Room #106, the school library, and the Multi-Purpose Room. The facility has requested to operate out of Room #101, #103, and #104 in addition to the already licensed spaces. Fire clearance was obtained on 6/24/2025. The school age program is exempt from requirements for indoor and outdoor space square footage, fencing, and toilet/sink ratios. No measurements were taken during the inspection. LPAs inspected Room #101, 103 and #104 for health and safety hazards. LPAs observed multiple smoke detectors, and fire extinguishers located inside of the rooms. Facility ensures solutions, poisons, and other chemicals that are dangerous to children are stored inaccessible to the children in care. LPAs observed the rooms to be added, to be clean, equipped with age-appropriate activities, materials and furniture. LPAs observed furniture to be in good repair and free of any hazards. The rooms are equipped with school district fire alarm system. Continued on Page 2 NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 applicab

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

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 25On 10/10/2025, at 2:50 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly arrived at the facility to conduct an unannounced, case management inspection for room addition. LPAs met with interim Director, Lucas Cleary and explained the purpose of the visit. Present at the facility today are 56 school-age children with 8 staff. Per interim Director, the Site Director, Evan Bernstein, is no longer working at the facility. The program currently operates Monday through Friday 7:00 AM to 8:00 AM and 1:00 PM to 6:00 PM. The facility is currently licensed to serve 120 students out of Room #106, the school library, and the Multi-Purpose Room. The facility has requested to operate out of Room #101, #103, and #104 in addition to the already licensed spaces. Fire clearance was obtained on 6/24/2025. The school age program is exempt from requirements for indoor and outdoor space square footage, fencing, and toilet/sink ratios. No measurements were taken during the inspection. LPAs inspected Room #101, 103 and #104 for health and safety hazards. LPAs observed multiple smoke detectors, and fire extinguishers located inside of the rooms. Facility ensures solutions, poisons, and other chemicals that are dangerous to children are stored inaccessible to the children in care. LPAs observed the rooms to be added, to be clean, equipped with age-appropriate activities, materials and furniture. LPAs observed furniture to be in good repair and free of any hazards. The rooms are equipped with school district fire alarm system. Continued on Page 2 NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 applicab

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 10/10/2025, at 2:50 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly arrived at the facility to conduct an unannounced, case management inspection for room addition. LPAs met with interim Director, Lucas Cleary and explained the purpose of the visit. Present at the facility today are 56 school-age children with 8 staff. Per interim Director, the Site Director, Evan Bernstein, is no longer working at the facility. The program currently operates Monday through Friday 7:00 AM to 8:00 AM and 1:00 PM to 6:00 PM. The facility is currently licensed to serve 120 students out of Room #106, the school library, and the Multi-Purpose Room. The facility has requested to operate out of Room #101, #103, and #104 in addition to the already licensed spaces. Fire clearance was obtained on 6/24/2025. The school age program is exempt from requirements for indoor and outdoor space square footage, fencing, and toilet/sink ratios. No measurements were taken during the inspection. LPAs inspected Room #101, 103 and #104 for health and safety hazards. LPAs observed multiple smoke detectors, and fire extinguishers located inside of the rooms. Facility ensures solutions, poisons, and other chemicals that are dangerous to children are stored inaccessible to the children in care. LPAs observed the rooms to be added, to be clean, equipped with age-appropriate activities, materials and furniture. LPAs observed furniture to be in good repair and free of any hazards. The rooms are equipped with school district fire alarm system. Continued on Page 2 NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025 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 applicab