OAKWOOD STATE PRESCHOOL

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 February 5th, 2026, Licensing Program Analysts (LPAs) David Nguyen and Elvira Sierra met with facility representative/site supervisor, Misty Worthy, for a case management inspection related to an incident that occurred on January 26th, 2026, at the childcare facility. The purpose of the inspection was explained. There were fourteen (14) childcare children present being supervised by three (3) childcare teachers. During today’s visit, LPAs David Nguyen and Elvira Sierra toured the on-limits areas with facility representative/site supervisor. LPA Nguyen conducted an onsite face-to-face interview with facility representative/site supervisor to follow up with the Unusual Incident Report (UIR) submitted to California Department of Social Services (CDSS), Community Care Licensing Division (CCLD) on January 27th, 2026, via email. Based on the information obtained during today’s inspection, LPAs learned that Child #1 was left alone unsupervised in the classroom during transition to the playground. Facility representative stated that a training regarding supervision was provided and meetings notes and attendance will be submitted to LPA, Nguyen. LPA David Nguyen informed facility representative, Misty Worthy that this report dated 2/5/2026 documents one (1) type-A citation. Type-A citation which shall be posted for 30 days consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Report continues on LIC809-C.... (Page 2) NAME OF LICENSING PROGRAM MANAGER: Chayntel Hunter NAME OF LICENSING PROGRAM ANALYST: David Nguyen LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/05/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2026 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 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 applicable, to all facilities holding a license issued by the lice

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 February 5th, 2026, Licensing Program Analysts (LPAs) David Nguyen and Elvira Sierra met with facility representative/site supervisor, Misty Worthy, for a case management inspection related to an incident that occurred on January 26th, 2026, at the childcare facility. The purpose of the inspection was explained. There were fourteen (14) childcare children present being supervised by three (3) childcare teachers. During today’s visit, LPAs David Nguyen and Elvira Sierra toured the on-limits areas with facility representative/site supervisor. LPA Nguyen conducted an onsite face-to-face interview with facility representative/site supervisor to follow up with the Unusual Incident Report (UIR) submitted to California Department of Social Services (CDSS), Community Care Licensing Division (CCLD) on January 27th, 2026, via email. Based on the information obtained during today’s inspection, LPAs learned that Child #1 was left alone unsupervised in the classroom during transition to the playground. Facility representative stated that a training regarding supervision was provided and meetings notes and attendance will be submitted to LPA, Nguyen. LPA David Nguyen informed facility representative, Misty Worthy that this report dated 2/5/2026 documents one (1) type-A citation. Type-A citation which shall be posted for 30 days consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Report continues on LIC809-C.... (Page 2) NAME OF LICENSING PROGRAM MANAGER: Chayntel Hunter NAME OF LICENSING PROGRAM ANALYST: David Nguyen LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/05/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2026 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 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 applicable, to all facilities holding a license issued by the lice

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