TIERRA SERENA CHILD DEVELOPMENT CENTER

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

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed: Type A Deficiency: · 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child. Type B Deficiency: · 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required. On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies. Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023 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: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 VISIT DATE: 10/06/2023 NARRATIVE 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 26 27 28 29 30 31 32Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations. Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov. Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023

Type A citation from complaint investigation - immediate risk

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 26 27 28 29 30 31 32This agency investigated the complaint alleging that “Staff allowed day care child to leave with the wrong authorized representative” and has determined that the complaint allegation was SUBSTANTIATED, meaning the preponderance of evidence standard has been met. An exit interview was conducted with Center Director Lorraine Palomo. Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency was cited: (see 9099-D). A 500.00 immediate civil penalty was assessed. Appeal Rights were provided today. Upon receipt of a Type A violation, facility staff shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to Center Director Palomo. Notice of Site Visit LIC 9213 must be posted for 30 days. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2023 FACILITY NAME: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/11/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/12/2023 Section Cited CCR 101212(a)(1)1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.1 2 3 4 5 6 7Today, facility representative confirmed that a training was conducted with all facility staff that reviewed topics of sign in and out procedures and supervision. Proof of agenda and notes were provided to the Department on 8/28/2023. A signed agenda by each attending staff will also be provided to Department by POC date 9/12/2023. Facility representatives will also be invited to the Fresno Regional Office to discuss this incident further. 8 9 10 11 12 13 14This requirement was not met as evidenced by: interviews and record review. On 8/14/2023, staff #1 released child #1 to an unauthorized representative (adult #1) causing an absence of supervision when adult #1 walked outside with child #1. This poses an immediate risk to the health, safety and or personal rights of children in care. A 500.00 civil penalty was assessed today. 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. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2023

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 26 27 28 29 30 31 32This agency investigated the complaint alleging that “Staff allowed day care child to leave with the wrong authorized representative” and has determined that the complaint allegation was SUBSTANTIATED, meaning the preponderance of evidence standard has been met. An exit interview was conducted with Center Director Lorraine Palomo. Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency was cited: (see 9099-D). A 500.00 immediate civil penalty was assessed. Appeal Rights were provided today. Upon receipt of a Type A violation, facility staff shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to Center Director Palomo. Notice of Site Visit LIC 9213 must be posted for 30 days. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2023 FACILITY NAME: TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER: 153808615 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 09/11/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/12/2023 Section Cited CCR 101212(a)(1)1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.1 2 3 4 5 6 7Today, facility representative confirmed that a training was conducted with all facility staff that reviewed topics of sign in and out procedures and supervision. Proof of agenda and notes were provided to the Department on 8/28/2023. A signed agenda by each attending staff will also be provided to Department by POC date 9/12/2023. Facility representatives will also be invited to the Fresno Regional Office to discuss this incident further. 8 9 10 11 12 13 14This requirement was not met as evidenced by: interviews and record review. On 8/14/2023, staff #1 released child #1 to an unauthorized representative (adult #1) causing an absence of supervision when adult #1 walked outside with child #1. This poses an immediate risk to the health, safety and or personal rights of children in care. A 500.00 civil penalty was assessed today. 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. SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Ruby Ocegueda LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2023

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