L.A.VALLEY COLLEGE CAMPUS CHILD DEVE.CTR.

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

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 08/27/2025, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 08/21/2025. Upon arrival, LPA met with Director, JENNIFER GUEVARA, and explained the purpose of the visit. LPA observed 0 children in care due to school currently not being in session. According to the UIR, on 07/31/2025, 4 out of 6 staff observed S2 to be acting differently than normal when returning to the classroom (where children were present) from their lunch break. Staff described S2's behavior as happier than usual, giggling, speaking loudly, unable to understand what they were saying, asking children math questions and giving them the wrong answers. 2 of the 6 staff stated that they smelled alcohol on S2's breath. S6 removed S2 from the classroom immediately upon suspicion and did not return to the classroom that day. On 8/26/2025, the UIR (LIC624) was submitted in writing to the department via email. During today’s inspection, LPA conducted interviews and obtained documents. Per Director, she was not present the day the incident took place.LPA obtained copies of statements written by staff who were present to observe the incident. LPA obtained a copy of a Criminal Record Exemption Needed for S2 that the facility obtained on 8/27/2025. As of today LPA confirmed that, S2 is Eligible/Cleared on Guardian. Due to the Unusual Incident not being reported to the El Segundo Regional Office by telephone or fax within the Department's next working day and during its normal business hours and in writing within 7 days, 1 Type B deficiency is being cited in accordance to Title 22 of the California Code of Regulations for Reporting Requirements (101212). Please refer to 809-D for cited deficiencies. NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Suzette Ornelas LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 t

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 08/27/2025, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 08/21/2025. Upon arrival, LPA met with Director, JENNIFER GUEVARA, and explained the purpose of the visit. LPA observed 0 children in care due to school currently not being in session. According to the UIR, on 07/31/2025, 4 out of 6 staff observed S2 to be acting differently than normal when returning to the classroom (where children were present) from their lunch break. Staff described S2's behavior as happier than usual, giggling, speaking loudly, unable to understand what they were saying, asking children math questions and giving them the wrong answers. 2 of the 6 staff stated that they smelled alcohol on S2's breath. S6 removed S2 from the classroom immediately upon suspicion and did not return to the classroom that day. On 8/26/2025, the UIR (LIC624) was submitted in writing to the department via email. During today’s inspection, LPA conducted interviews and obtained documents. Per Director, she was not present the day the incident took place.LPA obtained copies of statements written by staff who were present to observe the incident. LPA obtained a copy of a Criminal Record Exemption Needed for S2 that the facility obtained on 8/27/2025. As of today LPA confirmed that, S2 is Eligible/Cleared on Guardian. Due to the Unusual Incident not being reported to the El Segundo Regional Office by telephone or fax within the Department's next working day and during its normal business hours and in writing within 7 days, 1 Type B deficiency is being cited in accordance to Title 22 of the California Code of Regulations for Reporting Requirements (101212). Please refer to 809-D for cited deficiencies. NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Suzette Ornelas LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 t

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 08/27/2025, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 08/21/2025. Upon arrival, LPA met with Director, JENNIFER GUEVARA, and explained the purpose of the visit. LPA observed 0 children in care due to school currently not being in session. According to the UIR, on 07/31/2025, 4 out of 6 staff observed S2 to be acting differently than normal when returning to the classroom (where children were present) from their lunch break. Staff described S2's behavior as happier than usual, giggling, speaking loudly, unable to understand what they were saying, asking children math questions and giving them the wrong answers. 2 of the 6 staff stated that they smelled alcohol on S2's breath. S6 removed S2 from the classroom immediately upon suspicion and did not return to the classroom that day. On 8/26/2025, the UIR (LIC624) was submitted in writing to the department via email. During today’s inspection, LPA conducted interviews and obtained documents. Per Director, she was not present the day the incident took place.LPA obtained copies of statements written by staff who were present to observe the incident. LPA obtained a copy of a Criminal Record Exemption Needed for S2 that the facility obtained on 8/27/2025. As of today LPA confirmed that, S2 is Eligible/Cleared on Guardian. Due to the Unusual Incident not being reported to the El Segundo Regional Office by telephone or fax within the Department's next working day and during its normal business hours and in writing within 7 days, 1 Type B deficiency is being cited in accordance to Title 22 of the California Code of Regulations for Reporting Requirements (101212). Please refer to 809-D for cited deficiencies. NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Suzette Ornelas LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 t

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 08/27/2025, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 08/21/2025. Upon arrival, LPA met with Director, JENNIFER GUEVARA, and explained the purpose of the visit. LPA observed 0 children in care due to school currently not being in session. According to the UIR, on 07/31/2025, 4 out of 6 staff observed S2 to be acting differently than normal when returning to the classroom (where children were present) from their lunch break. Staff described S2's behavior as happier than usual, giggling, speaking loudly, unable to understand what they were saying, asking children math questions and giving them the wrong answers. 2 of the 6 staff stated that they smelled alcohol on S2's breath. S6 removed S2 from the classroom immediately upon suspicion and did not return to the classroom that day. On 8/26/2025, the UIR (LIC624) was submitted in writing to the department via email. During today’s inspection, LPA conducted interviews and obtained documents. Per Director, she was not present the day the incident took place.LPA obtained copies of statements written by staff who were present to observe the incident. LPA obtained a copy of a Criminal Record Exemption Needed for S2 that the facility obtained on 8/27/2025. As of today LPA confirmed that, S2 is Eligible/Cleared on Guardian. Due to the Unusual Incident not being reported to the El Segundo Regional Office by telephone or fax within the Department's next working day and during its normal business hours and in writing within 7 days, 1 Type B deficiency is being cited in accordance to Title 22 of the California Code of Regulations for Reporting Requirements (101212). Please refer to 809-D for cited deficiencies. NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Suzette Ornelas LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 t