TINY TREASURES PRESCHOOL, INC.

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 An inspection was conducted at the facility by Licensing Program Analysts (LPAs) Amy Strother and Sebastian Phouthavong. During the inspection, LPAs toured the facility with the Director (D1). LPAs observed six staff, Staff 1 - Staff 6 (S1-S6) caring and supervising a total of 45 children, operating within the required staffing ratios. Upon review of the facility roster, LPAs did not observe Staff 3 (S3) on the list of criminal record cleared and associated staff. LPAs interviewed D1 who stated that S3 has been working at the facility for 2 days. D1 stated she called Licensing and confirmed that S3 had an active criminal record clearance on file, but had not yet submitted the required paperwork to transfer S3's clearance to the facility. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee Beth Fiori. SUPERVISORS NAME: Alexis Hollon LICENSING EVALUATOR NAME: Amy Strother LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022 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: TINY TREASURES PRESCHOOL, INC. FACILITY NUMBER: 493002686 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/07/2022 Section Cited CCR 101170(e)(2) 1 2 3 4 5 6 7101170(e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f) This requirement is not met as evidenced by:1 2 3 4 5 6 7Licensee requested that Director provide a LIC9182, LIC508 and copy of S3's photo id be provided to LPAs. LPA's received the required documents to associate S3 to the facility during the inspection. 8 9 10 11 12 13 14Based on observation, record review, and interview the licensee did not associate 1 of 6 staffs criminal record clearances to the facility. Staff 3's (S3's) criminal record clearance was not transferred to the facility prior to the first day of employment. 8 9 10 11 12 13 14Director will request a copy of the facility profile and ensure S3 is associated prior to return to work. Director will request roster to verify staff hired in the future are cleared and associated prior to first day of employement. 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:Alexis Hollon LICENSING EVALUATOR NAME:Amy Strother LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022

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 An inspection was conducted at the facility by Licensing Program Analysts (LPAs) Amy Strother and Sebastian Phouthavong. During the inspection, LPAs toured the facility with the Director (D1). LPAs observed six staff, Staff 1 - Staff 6 (S1-S6) caring and supervising a total of 45 children, operating within the required staffing ratios. Upon review of the facility roster, LPAs did not observe Staff 3 (S3) on the list of criminal record cleared and associated staff. LPAs interviewed D1 who stated that S3 has been working at the facility for 2 days. D1 stated she called Licensing and confirmed that S3 had an active criminal record clearance on file, but had not yet submitted the required paperwork to transfer S3's clearance to the facility. The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee Beth Fiori. SUPERVISORS NAME: Alexis Hollon LICENSING EVALUATOR NAME: Amy Strother LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022 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: TINY TREASURES PRESCHOOL, INC. FACILITY NUMBER: 493002686 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/07/2022 Section Cited CCR 101170(e)(2) 1 2 3 4 5 6 7101170(e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f) This requirement is not met as evidenced by:1 2 3 4 5 6 7Licensee requested that Director provide a LIC9182, LIC508 and copy of S3's photo id be provided to LPAs. LPA's received the required documents to associate S3 to the facility during the inspection. 8 9 10 11 12 13 14Based on observation, record review, and interview the licensee did not associate 1 of 6 staffs criminal record clearances to the facility. Staff 3's (S3's) criminal record clearance was not transferred to the facility prior to the first day of employment. 8 9 10 11 12 13 14Director will request a copy of the facility profile and ensure S3 is associated prior to return to work. Director will request roster to verify staff hired in the future are cleared and associated prior to first day of employement. 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:Alexis Hollon LICENSING EVALUATOR NAME:Amy Strother LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2022

Type B citation - potential risk if not corrected