198019174-10-2-2025-33-CC-SPEY-DM3TJB-20251002144604

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019174
Report Date: 10/02/2025
Date Signed: 10/02/2025 02:47:19 PM

Document Has Been Signed on 10/02/2025 02:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.		FACILITY NUMBER:	198019174
ADMINISTRATOR/ DIRECTOR:	CECILE A. KEATLEY		FACILITY TYPE:	830
ADDRESS:	2215 E. ALCAZAR ST.		TELEPHONE:	(323) 442-3333
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90033
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 44	CENSUS: 29	DATE:	10/02/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:25 AM
MET WITH:	Cynthia Meza, Director		TIME VISIT/ INSPECTION COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On Thursday October 2, 2025, Licensing Program Analyst (LPAs) Staicy Perry and Diana Ortiz conducted an unannounced annual inspection and met with Director Cynthia Rosales who guided LPA’s on a tour of the facility. This is an infant program that serves children ages 0 to 24months. This is a combination center with a preschool on site facility #198019171. This program operates Monday to Friday 7:00 a.m. – 6:00 p.m. Sign in and out takes place at the main entrance area of Facility. Per Title 22 regulations, the facility is required to ensure that all parent/guardian signatures on the sign-in/out sheets accurately reflect the number of children present in care each day. During the inspection, it was observed that 3 out of 6 classrooms had missing parent signatures. This poses a potential risk to the health and safety of children in care. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. Facility has a total of 6 classrooms, Currie (0- months), Doheny (0-14 months), Bishop (12-24monhs), Stevenson (12-24monhs), Zilkha (0-14 months), and Hoffman (12-24monhs). LPA’s entered classroom Currie. LPAs observed 4 infants present supervising the children. LPA’s observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored inside a high cabinet making it inaccessible for children to reach. LPAs observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with cleaning solutions and disinfectants. LPA’s observed children’s personal items to be in individual bins. LPA’s also observed infant bottles and food to be labeled with names and dated 10/2/25 inside the fridge in their own individual bins.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

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California Health & Human Services Agency

California Department of Social Services

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 governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
	VISIT DATE: 10/02/2025

NARRATIVE

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LPA’s entered classroom Doheny. LPA’s observed 6 infants present. LPA’s did observe one infant #1 to be sleeping. LPA’s did observe infant #1 was not sleeping on back. LPA’s did observe LIC 9227 Infant Individual Sleep plan to be on file for infant #1. However, LPA’s did not observe Section D filled out. Upon review Section C was filled out and signed by parents on 8/21/2025. Per teachers they forgot to sign off. LPA’s provided a technical. LPA’s did observe staff sign the form during the visit. LPA’s did observe age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored inside a cabinet making it inaccessible for children to reach. LPA’s observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the handwashing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with cleaning solutions and disinfectant. LPA’s observed children’s personal items to be in individual bins. LPA’s also observed infant bottles and food to be labeled with names and dated 10/2/25 inside the fridge in their own individual bins.

LPA’s entered classroom Zilkha. LPA’s observed 7 children present with 2 children napping. LPA’s observed LIC 9227 not completely signed off. LPA’s did discuss form with director. LPA’s observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored inside diapering cabinet making it inaccessible for children to reach. LPA’s observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the handwashing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with with cleaning solutions and disinfectant. LPA’s observed children’s personal items to be in individual bins. LPA also observed infant bottles and food to be labeled with names and dated 10/2/25 inside the fridge in their own individual bins.

LPA entered classroom Bishop. LPA’s observed children outside. LPAs’ observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored inside diapering cabinet making it inaccessible for children to reach. LPA’s observed the cots to be stored according to title 22 regulations. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with cleaning solutions and disinfectants. LPA’s observed children’s personal items to be in individual bins.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
	VISIT DATE: 10/02/2025

NARRATIVE

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LPA entered classroom Stevenson. LPA’s observed children outside. LPAs observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored inside diapering cabinet making it inaccessible for children to reach. LPA’s observed the cots to be stored according to title 22 regulations. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with cleaning solutions and disinfectants. LPA’s observed children’s personal items to be in individual bins.

LPA entered classroom Hoffman. LPA’s observed children to be outside. LPA’s observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA’s observed cleaning solutions stored making it inaccessible for children to reach. LPA’s observed the cribs cots to be stored according to title 22 regulations. LPA’s observed step trash bins with a lid, one for diapers and one for trash. LPA’s observed the diapering changing table to be arm’s length to the handwashing sink and a vinyl diapering mat. Per director, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and the vinyl mat is disinfected with cleaning solutions and disinfectants. LPA’s observed children’s personal items to be in individual bins.

Heating, lighting, and ventilation were evaluated by LPA’s. LPA’s observed central AC/heater and vents located on the ceiling. LPA’s observed the thermostats located in classrooms and temperatures to be between 69 degrees. LPA’s observed the fire extinguishers located in hallways and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 7/23/2025. Smoke detectors and carbon monoxide were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. The last emergency drill was conducted on 9/30/2025. LPA’s observed napping equipment cots to be in good condition and stored in the classrooms. First aid kit supplies are kept inside the classrooms and LPA’s observed the kits to be fully equipped. During this visit, per director, stated currently facility dose have children with medication or severe food allergies. LPA’s reviewed medications and medications were observed to be complete along with IMS plan on file. LPA’s asked if there were any poisons, firearms, weapons, or bodies of water. Director stated no firearms, weapons, no poisons nor bodies of water. LPA’s did not observe firearms or weapons, poisons, nor bodies of water. Director stated the ill isolation area takes place in the director’s office and children will utilize staff restroom. LPA’s observed classroom restrooms to be located in each classroom Bishop, Stevenson and Hoffman. LPA’s observed the restrooms to be in good condition with working toilets, sinks, hand soap dispenser and paper towels.

LPA’s entered the outdoor play area. LPA’s observed 1 shed closed and locked with a lock. LPA’s observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
	VISIT DATE: 10/02/2025

NARRATIVE

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activity space is maintained in a safe condition and is free of hazards. LPA’s observed play equipment to be age-appropriate and areas around or under high climbing equipment, are cushioned that may absorb a fall. For adequate shade, LPA’s observed hip roof shade structure as well as triangular shades. LPA’s observed the playground yard to be fenced and the side gates closed and locked with a lock. LPA’s observed trash bins with tight lids. For outdoor drinking water, children utilize the drinking fountain and cups are made accessible.

This program provides morning snack, lunch, and pm snack. Lunch is provided by an outside vendor called Dave’s Deli which food is delivered daily. LPA’s informed director that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA’s observed water pitchers and disposable cups in the classrooms, however, LPA’s did not see that the water was made accessible to the children. LPA’s observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents. Lead testing was conducted on 11/28/2022 and no lead exceedance. Lead results were observed to be posted.

The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule. LPA's observed 15 minute sleep logs to be inconsistent in checking every 15 minutes. LPA;s observed two days of sleep logs and in both days there were inconsistencies in checking every 15 minutes which poses an potential risk to the health and safety of the children in care.

LPA’s reviewed the children’s roster, children’s files and staff files and observed the files to be complete.

LPA Perry observed director Cynthia Rosales Pediatric First Aid/CPR certification which expires on 2/19/2026, Preventative Health and Safety certification in process and has proof of immunization against Pertussis, MMR, and Influenza declination. Director has completed the mandated reporter (AB 1207) training which expires 11/10/25 (waiver on file for Mandated Reporter Training and was observed to be attached. CCLD orientation is dated 10/2024. Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
	VISIT DATE: 10/02/2025

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA’s verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPA Perry discussed the safe sleep regulations with director and discussed the Childcare Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
	VISIT DATE: 10/02/2025

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Currently the facility is not in compliance with Title 22 Regulations and no deficiencies will be cited on this day. The deficiency listed on the following page was observed by LPA’s and is being cited in accordance with California Code of Regulations Title 22. Two type B deficiency is being issued today for regulation. Please see attached LIC 809-D for citation.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted with Director Cynthia.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/02/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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Document Has Been Signed on 10/02/2025 02:47 PM - It Cannot Be Edited

Created By: Staicy Perry On 10/02/2025 at 01:18 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.	FACILITY NUMBER: 198019174
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/02/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in 15 minute sleep checks not being done every 15 minutes which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2025
	Plan of Correction
1 2 3 4	Per director, we will set timers ahead of time to enusre the 15- check is being completed. Director will also have infant staff train on Infant Safe Sleep that is located on the CCLD website and provide summaries of what staff learned an submit to LPA by POC date.

Type B

Section Cited

CCR

101229.1(a)(1)

Sign In and Sign Out

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in inconsistancies with children not being signed in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2025
	Plan of Correction
1 2 3 4	Per director, we will ensure families upon entry will sign in before going into the classroom. Also, facility will have a designated staff member during morning drop off to ensure all parents sign in and out. Director will submit 1 month worth of sign in and out sheets to LPA br POC date. Directoe will aslo submit a declaration on how she will ensure compliancde with that regualtion.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:

	Staicy Perry
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/02/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC809 (FAS) - (06/04)

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