DMUSD 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 June 9, 2021 at 8:50 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Lead Teacher/Licensing Specialist Tara Fields and proceeded to tour the facility. Also present were 50 children with 8 staff members. Appropriate teacher and child ratios were observed. Staff members have the required background clearances and are associated to the facility. Effective 1/11/21, Tara Fields became the Lead Teacher/Licensing Specialist of DMUSD Child Development Center. An email announcing her position, referred to as “Licensing Director” was sent by Shelley Petersen, Assistant Superintendent, Instructional Services to the families of children enrolled on 12/16/20. The email stated that Ms. Fields position would become effective on 1/11/21. A copy of this same email was forwarded to facility staff on 12/17/20. The Designation of Facility Responsibility, LIC308 was received by the Regional Office via fax on 1/7/21. A lead/head teacher is an acceptable substitute for a child care center director provided that the lead teacher meets the qualifications of a child care center director. The licensee failed to submit verification of Ms. Fields’ course work and summary of work experience within 10 days of the facility director change. Ms. Fields submitted the documents via email to LPA Curtis on 4/22/21. See LIC809D for cited deficiency. An exit interview was conducted with Licensing Specialist/Director Tara Fields and Appeal Rights (LIC 9058 1/16) were discussed. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the site director post notice of site visit. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021 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: DMUSD CHILD DEVELOPMENT CENTER FACILITY NUMBER: 376700911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/09/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/10/2021 Section Cited CCR 101212(b)(1)(A) 1 2 3 4 5 6 7101212 Reporting Requirements:(b) The name of the child care center director... shall be reported to the Department within 10 days of a change of child care center director or designee(s). (1) Whenever a change in child care center director is reported, in addition to his/her name, the report shall include the following:(A) Verification of the completion of the course work required in Section 101215.1(h). A photocopy of a college transcript...This requirement was not met as evidenced by:1 2 3 4 5 6 7The director/licensing specialist submitted a copy of her education history and resume to LPA on 4/22/21. 8 9 10 11 12 13 14Based on LPA's record review the Department received the required documents on 4/22/21. The licensee did not submit verification of the completed required course work within 10 days of the director change. This poses a potential health and safety risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 CCR 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:Tashima Daniel LICENSING EVALUATOR NAME:Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021

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 June 9, 2021 at 8:50 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Lead Teacher/Licensing Specialist Tara Fields and proceeded to tour the facility. Also present were 50 children with 8 staff members. Appropriate teacher and child ratios were observed. Staff members have the required background clearances and are associated to the facility. Effective 1/11/21, Tara Fields became the Lead Teacher/Licensing Specialist of DMUSD Child Development Center. An email announcing her position, referred to as “Licensing Director” was sent by Shelley Petersen, Assistant Superintendent, Instructional Services to the families of children enrolled on 12/16/20. The email stated that Ms. Fields position would become effective on 1/11/21. A copy of this same email was forwarded to facility staff on 12/17/20. The Designation of Facility Responsibility, LIC308 was received by the Regional Office via fax on 1/7/21. A lead/head teacher is an acceptable substitute for a child care center director provided that the lead teacher meets the qualifications of a child care center director. The licensee failed to submit verification of Ms. Fields’ course work and summary of work experience within 10 days of the facility director change. Ms. Fields submitted the documents via email to LPA Curtis on 4/22/21. See LIC809D for cited deficiency. An exit interview was conducted with Licensing Specialist/Director Tara Fields and Appeal Rights (LIC 9058 1/16) were discussed. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the site director post notice of site visit. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021 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: DMUSD CHILD DEVELOPMENT CENTER FACILITY NUMBER: 376700911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/09/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/10/2021 Section Cited CCR 101212(b)(1)(A) 1 2 3 4 5 6 7101212 Reporting Requirements:(b) The name of the child care center director... shall be reported to the Department within 10 days of a change of child care center director or designee(s). (1) Whenever a change in child care center director is reported, in addition to his/her name, the report shall include the following:(A) Verification of the completion of the course work required in Section 101215.1(h). A photocopy of a college transcript...This requirement was not met as evidenced by:1 2 3 4 5 6 7The director/licensing specialist submitted a copy of her education history and resume to LPA on 4/22/21. 8 9 10 11 12 13 14Based on LPA's record review the Department received the required documents on 4/22/21. The licensee did not submit verification of the completed required course work within 10 days of the director change. This poses a potential health and safety risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 CCR 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:Tashima Daniel LICENSING EVALUATOR NAME:Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021

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 June 9, 2021 at 8:50 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Lead Teacher/Licensing Specialist Tara Fields and proceeded to tour the facility. Also present were 50 children with 8 staff members. Appropriate teacher and child ratios were observed. Staff members have the required background clearances and are associated to the facility. Effective 1/11/21, Tara Fields became the Lead Teacher/Licensing Specialist of DMUSD Child Development Center. An email announcing her position, referred to as “Licensing Director” was sent by Shelley Petersen, Assistant Superintendent, Instructional Services to the families of children enrolled on 12/16/20. The email stated that Ms. Fields position would become effective on 1/11/21. A copy of this same email was forwarded to facility staff on 12/17/20. The Designation of Facility Responsibility, LIC308 was received by the Regional Office via fax on 1/7/21. A lead/head teacher is an acceptable substitute for a child care center director provided that the lead teacher meets the qualifications of a child care center director. The licensee failed to submit verification of Ms. Fields’ course work and summary of work experience within 10 days of the facility director change. Ms. Fields submitted the documents via email to LPA Curtis on 4/22/21. See LIC809D for cited deficiency. An exit interview was conducted with Licensing Specialist/Director Tara Fields and Appeal Rights (LIC 9058 1/16) were discussed. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the site director post notice of site visit. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021 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: DMUSD CHILD DEVELOPMENT CENTER FACILITY NUMBER: 376700911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/09/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/10/2021 Section Cited CCR 101212(b)(1)(A) 1 2 3 4 5 6 7101212 Reporting Requirements:(b) The name of the child care center director... shall be reported to the Department within 10 days of a change of child care center director or designee(s). (1) Whenever a change in child care center director is reported, in addition to his/her name, the report shall include the following:(A) Verification of the completion of the course work required in Section 101215.1(h). A photocopy of a college transcript...This requirement was not met as evidenced by:1 2 3 4 5 6 7The director/licensing specialist submitted a copy of her education history and resume to LPA on 4/22/21. 8 9 10 11 12 13 14Based on LPA's record review the Department received the required documents on 4/22/21. The licensee did not submit verification of the completed required course work within 10 days of the director change. This poses a potential health and safety risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 CCR 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:Tashima Daniel LICENSING EVALUATOR NAME:Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021

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 25On June 9, 2021 at 8:50 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Lead Teacher/Licensing Specialist Tara Fields and proceeded to tour the facility. Also present were 50 children with 8 staff members. Appropriate teacher and child ratios were observed. Staff members have the required background clearances and are associated to the facility. Effective 1/11/21, Tara Fields became the Lead Teacher/Licensing Specialist of DMUSD Child Development Center. An email announcing her position, referred to as “Licensing Director” was sent by Shelley Petersen, Assistant Superintendent, Instructional Services to the families of children enrolled on 12/16/20. The email stated that Ms. Fields position would become effective on 1/11/21. A copy of this same email was forwarded to facility staff on 12/17/20. The Designation of Facility Responsibility, LIC308 was received by the Regional Office via fax on 1/7/21. A lead/head teacher is an acceptable substitute for a child care center director provided that the lead teacher meets the qualifications of a child care center director. The licensee failed to submit verification of Ms. Fields’ course work and summary of work experience within 10 days of the facility director change. Ms. Fields submitted the documents via email to LPA Curtis on 4/22/21. See LIC809D for cited deficiency. An exit interview was conducted with Licensing Specialist/Director Tara Fields and Appeal Rights (LIC 9058 1/16) were discussed. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the site director post notice of site visit. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021 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: DMUSD CHILD DEVELOPMENT CENTER FACILITY NUMBER: 376700911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/09/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/10/2021 Section Cited CCR 101212(b)(1)(A) 1 2 3 4 5 6 7101212 Reporting Requirements:(b) The name of the child care center director... shall be reported to the Department within 10 days of a change of child care center director or designee(s). (1) Whenever a change in child care center director is reported, in addition to his/her name, the report shall include the following:(A) Verification of the completion of the course work required in Section 101215.1(h). A photocopy of a college transcript...This requirement was not met as evidenced by:1 2 3 4 5 6 7The director/licensing specialist submitted a copy of her education history and resume to LPA on 4/22/21. 8 9 10 11 12 13 14Based on LPA's record review the Department received the required documents on 4/22/21. The licensee did not submit verification of the completed required course work within 10 days of the director change. This poses a potential health and safety risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 CCR 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:Tashima Daniel LICENSING EVALUATOR NAME:Grace Curtis LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021