Standard 101212(d)(1)(C)
MinorAny unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by no records of incident was reported to the department posing a potential risk to the health and safety of children in care
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
This deficiency has been cleared, the incident was reported to the department on 5/19/26 and a written report was provided on 5/20/26. Per Facility, the facility will follow the reporting requirement per Title 22 101212 Warren Birks Alicia Mooberry DATE: 05/20/2026 DATE: 05/20/2026 Page: 3 of 3
Standard 101212(d)(1)(C)
- State severity
- Type B
- Corrected at visit
- Not recorded
- Correction due
- May 20, 2026
- Technical assistance
- Not recorded
- Finding source ID
- ca:198400579:2026-05-20:101212(d)(1)(C):1
- Visit source ID
- ca:198400579:2026-05-20:other