FAITH LUTHERAN DAY CARE CENTER

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Based on the information obtained during today's visit, it was determined that Title 22 Regulation section 101229(A)(1) (Responsibility for providing Care and Supervision) was violated. The Regulation states that no child(ren) shall be left without the supervision of a..... teacher at any time...Supervision shall include visual observation. It was determined that a preschool child's class transitioned into their classroom and one child was left behind for approximately 30-45 seconds. However, the child was observed by a parent in the parking lot.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

Facility did not comply with the admission agreement... as the updated admission agreement had not been distributed or signed by parents and was therefore not in effect. Child #3 was sent home after two loose bowel movements in 45 minutes, despite the current agreement requiring three in one hour or four total in a day.

It was stated that the facility did not report the reported incident because they were not able to confirm that the allegation happened.

Type B citation from complaint investigation - 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 09/12/2025 at 1:25 PM, Licensing Program Analyst (LPA) Raymond Moorehead conducted a case management inspection with Interim Director Laura Salazar. A case management inspection is being conducted in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 09/08/2025 as the incident was self-reported. The incident took place on 08/28/2025. The UIR documented an incident where a child was reportedly left behind for approximately 30-45 seconds, as their classroom was transitioning into their main classroom. Further, it was stated that the entire incident was observed by a parent that was in the parking lot during drop off time in the morning. There were no injuries that were reported to occur as a result of the reported incident. During today's visit, LPA investigated the reported incident. Facility staff members were interviewed, documentation was obtained, a tour/census was taken, and LPA inspected the area where the incident took place. During interviews, the following was disclosed. It was stated that the the subject teacher had a total of 6 children present. Further, it was stated that the subject teacher double counted a child and the last child was not observed attempting to go inside the classroom, whom was outside the class at the time. Pertinent interviews also stated that the subject child was able to open the door and re-enter the classroom within that time frame of 30-45 seconds after the subject teacher closed the door. It was also stated that the subject child was not in fear, but thought it was a "silly" accident that had occurred. NAME OF LICENSING PROGRAM MANAGER: Aaron Ross NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2025 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 corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PEN

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

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 09/12/2025 at 1:25 PM, Licensing Program Analyst (LPA) Raymond Moorehead conducted a case management inspection with Interim Director Laura Salazar. A case management inspection is being conducted in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 09/08/2025 as the incident was self-reported. The incident took place on 08/28/2025. The UIR documented an incident where a child was reportedly left behind for approximately 30-45 seconds, as their classroom was transitioning into their main classroom. Further, it was stated that the entire incident was observed by a parent that was in the parking lot during drop off time in the morning. There were no injuries that were reported to occur as a result of the reported incident. During today's visit, LPA investigated the reported incident. Facility staff members were interviewed, documentation was obtained, a tour/census was taken, and LPA inspected the area where the incident took place. During interviews, the following was disclosed. It was stated that the the subject teacher had a total of 6 children present. Further, it was stated that the subject teacher double counted a child and the last child was not observed attempting to go inside the classroom, whom was outside the class at the time. Pertinent interviews also stated that the subject child was able to open the door and re-enter the classroom within that time frame of 30-45 seconds after the subject teacher closed the door. It was also stated that the subject child was not in fear, but thought it was a "silly" accident that had occurred. NAME OF LICENSING PROGRAM MANAGER: Aaron Ross NAME OF LICENSING PROGRAM ANALYST: Raymond Moorehead LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2025 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 corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PEN

Type B citation from complaint investigation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected