LAND EARLY LEARNING CENTER

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 September 15, 2025, Licensing Program Analyst (LPA) Long Pham and Licensing Program Manager (LPM) Tina Nguyen conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 09/03/2025. LPA and LPM met with Coordinator Early Educator Carolyn Wertheim. LPA and LPM observed 1 staff and 2 infants in room 1, and 1 staff and 2 infants in room 2, and 3 staff and 6 infants in room 4. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. On 09/03/2025 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. According to an updated self-reported Unusual Incident Report (UIR) on 09/05/2025, the program supervisor Jessica Palacios notified the Licensing Office that 8 infants were affected with gastrointestinal illnesses which caused them to have diarrhea. During today’s visit, LPA and LPM interviewed 3 staff and reviewed 4 infants' files. During the inspection, LPA and LPM observed 3 out of 6 infants were swaddled in the sleep sack in room 4 while in care. 101430(a)(3)(C) An infant shall not be swaddled while in care. In the areas that were evaluated, Type B: 101430(a)(3)(C) deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. Page 1 of 2 NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Long Pham LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/15/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2025 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 to the licensing agency concerning corrections, or if correction

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 September 15, 2025, Licensing Program Analyst (LPA) Long Pham and Licensing Program Manager (LPM) Tina Nguyen conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 09/03/2025. LPA and LPM met with Coordinator Early Educator Carolyn Wertheim. LPA and LPM observed 1 staff and 2 infants in room 1, and 1 staff and 2 infants in room 2, and 3 staff and 6 infants in room 4. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. On 09/03/2025 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. According to an updated self-reported Unusual Incident Report (UIR) on 09/05/2025, the program supervisor Jessica Palacios notified the Licensing Office that 8 infants were affected with gastrointestinal illnesses which caused them to have diarrhea. During today’s visit, LPA and LPM interviewed 3 staff and reviewed 4 infants' files. During the inspection, LPA and LPM observed 3 out of 6 infants were swaddled in the sleep sack in room 4 while in care. 101430(a)(3)(C) An infant shall not be swaddled while in care. In the areas that were evaluated, Type B: 101430(a)(3)(C) deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. Page 1 of 2 NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen NAME OF LICENSING PROGRAM ANALYST: Long Pham LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/15/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2025 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 to the licensing agency concerning corrections, or if correction