Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
10/14/2025
Section Cited
CCR
101212(c) | 1
2
3
4
5
6
7 | 101212 Reporting Requirements
(c)The licensee shall notify the Department in writing of his/her intent prior to making any structural changes.
This requirement has not been met as evidenced by: | 1
2
3
4
5
6
7 | Director will cease the use of the Hallway in Wing A as of today, 10/14/2025 and submit a written statement via email confirming that the facility will no longer use the unapproved areas by POC due date of 10/17/2025. |
 | 8
9
10
11
12
13
14 | Based on interview with the Director, LPAs confirmed that the program occasionally uses an unlicensed area (the hallway in Wing - A) as1 indoor activity space during inclement weather, which poses a potential risk to the health, safety, or personal rights of children in care. | 8
9
10
11
12
13
14 |  |
Type B
10/14/2025
Section Cited
CCR
101238.3(a)(1) | 1
2
3
4
5
6
7 | 101238.3 Indoor Activity Space
(a) (1) Bathrooms, halls, offices, isolation areas, food-preparation areas, and storage places shall not be included in the calculation of indoor activity space.
This requirement has not been met as evidenced by: | 1
2
3
4
5
6
7 | Director will cease the use of the Hallway in Wing C as of today, 10/14/2025 and submit a written statement via email confirming that the facility will no longer use the hall in Wing C for play activities by POC due date of 10/17/2025. |
 | 8
9
10
11
12
13
14 | Based on interview with the Director, LPAs confirmed that the program occasionally uses the hallway in Wing - C as indoor activity space during inclement weather, which poses a potential risk to the health, safety, or personal rights of children in care. | 8
9
10
11
12
13
14 |  |