CDR - BENITA WALLICK HEAD START

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 12, 2026, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Case Management - Incident inspection at the above mentioned Child Care Center (CCC). LPA met with Site Supervisor Megan Ramsey and informed them the purpose of the inspection. At the time of the inspection 36 children and 6 staff were present. On 2/3/26, the CCC self reported an incident where Staff 1 (S1) and (S2) took their classroom to the play ground, unaware they left Child 1 (C1) in the classroom. Staff 3 (S3) walked by the classroom and observed C1 was left unattended. LPA in the company of the Site Supervisor, toured the area where the incident occurred. LPA observed the exit gated were secured. Further LPA observed the classroom to have age appropriate toys and furnishings. LPA reviewed statements made by S1, S2 and S3 and noted C1 was left unattended for approximately 3 minutes. LPA notes the facility has reviewed procedures with staff in order to prevent a similar incidents from occurring. Additionally, the facility responded appropriately in reporting the incident to Licensing and informing parent of C1. Based on the information obtained, 1 Type B deficiency is being issued as a result of the incident on the attached LIC 809D. Report was reviewed with Site Supervisor Megan Ramsey. Notice of site visit and appeal rights were given. NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino NAME OF LICENSING PROGRAM ANALYST: Giovani Gonzalez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/12/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2026 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 3 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 licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any govern

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 12, 2026, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Case Management - Incident inspection at the above mentioned Child Care Center (CCC). LPA met with Site Supervisor Megan Ramsey and informed them the purpose of the inspection. At the time of the inspection 36 children and 6 staff were present. On 2/3/26, the CCC self reported an incident where Staff 1 (S1) and (S2) took their classroom to the play ground, unaware they left Child 1 (C1) in the classroom. Staff 3 (S3) walked by the classroom and observed C1 was left unattended. LPA in the company of the Site Supervisor, toured the area where the incident occurred. LPA observed the exit gated were secured. Further LPA observed the classroom to have age appropriate toys and furnishings. LPA reviewed statements made by S1, S2 and S3 and noted C1 was left unattended for approximately 3 minutes. LPA notes the facility has reviewed procedures with staff in order to prevent a similar incidents from occurring. Additionally, the facility responded appropriately in reporting the incident to Licensing and informing parent of C1. Based on the information obtained, 1 Type B deficiency is being issued as a result of the incident on the attached LIC 809D. Report was reviewed with Site Supervisor Megan Ramsey. Notice of site visit and appeal rights were given. NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino NAME OF LICENSING PROGRAM ANALYST: Giovani Gonzalez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/12/2026 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2026 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 3 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 licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any govern

Type B citation - potential risk if not corrected