OPTIONS CDC - ROOSEVELT

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) Nolan Tcheng conducted an unannounced Case Management inspection for the purpose of following up on an incident report submitted to the Department on 09/24/2025. Upon arrival at 11:15am, LPA met with Site Supervisor Liz Salinas, to whom the purpose of the inspection was explained. A tour of the facility was conducted to obtain census. There were 23 children with 6 staff members. On 09/23/2025, the incident submitted to the Department stated that during transition time from inside to outside for play time, a child was left inside the classroom without any adult supervision. LPA conducted two interviews with staff members during today's inspection. Staff #1 stated that Room 1 moved outside and was waiting for Room 2 to join them outside for play. When the Room 2 joined outside, Staff #2 entered Room 1 to use the laundry machines. Staff #2 then observed Child #1 crouched in the bathroom by themselves. Staff #2 asked Child #1 why they were in here and they replied "I am tired." Both Staff #1 and Staff #2 corroborated the same recollection of the incident. Staff confirmed that Child #1 was left in the classroom with no supervision. Per both interviews, they stated that Child #1 was left unattended for no more than 5 minutes. Child was not in danger and did not sustain any injuries while left unattended. Based on the information above, there was a violation of lack of supervision that took place on 09/23/2025. Facility will be cited in accordance with Title 22 Regulations. Per Site Supervisor, authorized representatives of Child #1 were notified of the incident. Staff are conducting more headcounts throughout the day, communicating counts, and using a board with names/magnets to represent children present. REPORT CONTINUES PAGE 1 of 2 NAME OF LICENSING PROGRAM MANAGER: Ana Chico NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/01/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2025 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 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 c

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) Nolan Tcheng conducted an unannounced Case Management inspection for the purpose of following up on an incident report submitted to the Department on 09/24/2025. Upon arrival at 11:15am, LPA met with Site Supervisor Liz Salinas, to whom the purpose of the inspection was explained. A tour of the facility was conducted to obtain census. There were 23 children with 6 staff members. On 09/23/2025, the incident submitted to the Department stated that during transition time from inside to outside for play time, a child was left inside the classroom without any adult supervision. LPA conducted two interviews with staff members during today's inspection. Staff #1 stated that Room 1 moved outside and was waiting for Room 2 to join them outside for play. When the Room 2 joined outside, Staff #2 entered Room 1 to use the laundry machines. Staff #2 then observed Child #1 crouched in the bathroom by themselves. Staff #2 asked Child #1 why they were in here and they replied "I am tired." Both Staff #1 and Staff #2 corroborated the same recollection of the incident. Staff confirmed that Child #1 was left in the classroom with no supervision. Per both interviews, they stated that Child #1 was left unattended for no more than 5 minutes. Child was not in danger and did not sustain any injuries while left unattended. Based on the information above, there was a violation of lack of supervision that took place on 09/23/2025. Facility will be cited in accordance with Title 22 Regulations. Per Site Supervisor, authorized representatives of Child #1 were notified of the incident. Staff are conducting more headcounts throughout the day, communicating counts, and using a board with names/magnets to represent children present. REPORT CONTINUES PAGE 1 of 2 NAME OF LICENSING PROGRAM MANAGER: Ana Chico NAME OF LICENSING PROGRAM ANALYST: Nolan Tcheng LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/01/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2025 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 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 c

Type B citation - potential risk if not corrected