101700.3(b)(1) · California Lead Action Level at Child Care Centers (b)Testing results with fractional ppb readings of 0.5 ppb or greater shall...(1) A result with values of 5.5ppb or greater shall be deemed an Action Level Exceedance. Per licensee, they will create a news letter to inform parents that there was a lead exceedance discovered in their water and that they are taking action to rectify the problem in accordance with State guidelines. Faucets were replace and filters were added. Retest is scheduled

Based on interview and record review, results from faucet D, located in the caterpillar room, is greater than 5.5ppb Per licensee, they will provide LPA J.Culbert with a copy of the news letter and lead testing retest results. Warren Birks NAME OF LICENSING PROGRAM MANAGER: Jonnisha Culbert NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/12/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

101216(g)(1) · Personnel Requirements (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 3 personnel (S1) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/24/2023

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

101174(d) · Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the facility did not have verification of disaster and fire drills available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/09/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101215.1(m) · Child Care Center Director Qualifications and Duties (m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the Director did not have proof of completion for the required Preventative Health and Safety Practices (EMSA-approved) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/09/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101216(f) · Personnel Requirements (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 2 personnel records (Director and Staff (S1)) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/09/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

101227(a)(6) · Food Services 101227(a)(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as the facility did not have the menu for August 2022 posted or the menus for the last 30 days available for review which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/09/2022

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.