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13 | On 07/09/2025, Licensing Program Analyst (LPA) Xona Xayavong conducted an unannounced complaint inspection and met with Site Supervisor Neng Thao. LPA tour the inside and outside of the facility and a census was taken. LPA explained that the purpose of today’s inspection was to deliver findings for the above allegations.
During the complaint investigation, Licensing Program Analyst (LPA) Xona Xayavong conducted three unannounced inspections at the facility on May 8, 2025, June 10, 2025, and June 17, 2025. LPA interviewed staff and parents, reviewed staff and children’s records, obtained relevant documentation, and conducted observations of the facility.
Based on interviews conducted, interview statements revealed that staff did not maintain visual supervision of the children to prevent inappropriate interactions. (Continue on LIC 9099-C) |
| Substantiated | Estimated Days of Completion: |
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NARRATIVE |
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32 | Based on the information obtained and interviews conducted, the preponderance of evidence has been met, that staff did not prevent inappropriate interaction between children in care. Therefore, this allegation is SUBSTANTIATED.
Additionally, during the interview with Site Supervisor Neng Thao, it was disclosed that staff failed to report the incident that occurred on April 10, 2025, to Community Care Licensing. Licensing was not made aware of the incident until the complaint investigation began.
Based on this information, the preponderance of evidence has been met, that staff are not following reporting requirements. Therefore, this allegation is also SUBSTANTIATED.
Pursuant to Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following two (2)
Type B deficiencies are being cited during today’s inspection. (See LIC 9099-D on the next page.)
Site Supervisor Neng Thao was provided a copy of appeal rights. An exit interview was conducted, and the report was reviewed with Site Supervisor. This report shall be made available to the public upon request. A LIC 9213 Notice of Site Visit was provided and is required to be posted for 30 days. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/09/2025
Section Cited
CCR
101223(a)(2) | 1
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7 | 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…to meet his/her needs. This requirement was not met as evidence by: | 1
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7 | Site Supervisor stated she will conduct Personal Rights training with staff and provide sign-in of attendees to Licensing by 7/23/2025. |
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14 | Based on interviews, it was revealed that staff did not prevent inappropriate behaviors between children. This lack of personal rights poses a potential risk to the health, safety, and personal rights of person in care. | 8
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Type B
07/09/2025
Section Cited
CCR
101212(d)(1)(C) | 1
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7 | 101212 Reporting Requirements…(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department…(1) Events reported shall include the following…(C) Any unusual incident or child absence that | 1
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7 | Site Supervisor stated she has spoken to Management regarding reporting requirement and will ensure all future unusual incidents will be reported to licensing. |
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14 | threatens the physical or emotional health or safety of any child. This requirement was not met as evidence by: Based on interview, it was revealed that staff failed to report an unusual incident to Licensing which poses a potential risk to the health, safety, and personal rights of person in care. | 8
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14 | Site Supervisor will conduct training on Reporting Requirement with staff and will provide sign-in of attendees by 7/23/2025. |