DORRIS-EATON SCHOOL, THE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 12/14/22 Licensing Program Analyst (LPA) Monica Mathur met with Director, Rachel O'Connell to conduct a Case Management inspection for the Lead Testing results at Center. LPA conducted an inspection and toured the premises with Director. It was indicated there was at least one outlet that exceeded the Action Level established by the State for exposure. Faucet is in the TK2 restroom located in the upper building. It was being used for hand washing and filling water bottles for drinking. Director states faucet has been replaced and sink/faucet was observed taped off and out of use. Re-testing is scheduled in end January. This poses/posed a potential risk to health and safety of children in care. Deficiency is cited from the California Code of Regulations, Title 22 (see page 809D). Facility has submitted the required documentation for lead testing and steps taken to remediate. Exit interview conducted and report was reviewed with Director, Rachel O'Connell. A Notice of Site Visit was given and must remain posted for 30 days. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: DORRIS-EATON SCHOOL, THE FACILITY NUMBER: 073402249 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/14/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/13/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a)The childcare center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by 1 2 3 4 5 6 7Facility has ceased use of the faucet, replaced and awating re-testing. Director has submitted a written plan on steps taken to remediate. Deficiency was cleared during inspection and Letter of Clearance provided. 8 9 10 11 12 13 14Based on Lead Testing Sample results the facility has one (1) water faucet with lead exposure. This posed a potential risk to Health and Safety of persons in care. 8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Sherelle Johnson LICENSING EVALUATOR NAME:Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 12/14/22 Licensing Program Analyst (LPA) Monica Mathur met with Director, Rachel O'Connell to conduct a Case Management inspection for the Lead Testing results at Center. LPA conducted an inspection and toured the premises with Director. It was indicated there was at least one outlet that exceeded the Action Level established by the State for exposure. Faucet is in the TK2 restroom located in the upper building. It was being used for hand washing and filling water bottles for drinking. Director states faucet has been replaced and sink/faucet was observed taped off and out of use. Re-testing is scheduled in end January. This poses/posed a potential risk to health and safety of children in care. Deficiency is cited from the California Code of Regulations, Title 22 (see page 809D). Facility has submitted the required documentation for lead testing and steps taken to remediate. Exit interview conducted and report was reviewed with Director, Rachel O'Connell. A Notice of Site Visit was given and must remain posted for 30 days. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: DORRIS-EATON SCHOOL, THE FACILITY NUMBER: 073402249 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/14/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/13/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a)The childcare center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by 1 2 3 4 5 6 7Facility has ceased use of the faucet, replaced and awating re-testing. Director has submitted a written plan on steps taken to remediate. Deficiency was cleared during inspection and Letter of Clearance provided. 8 9 10 11 12 13 14Based on Lead Testing Sample results the facility has one (1) water faucet with lead exposure. This posed a potential risk to Health and Safety of persons in care. 8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Sherelle Johnson LICENSING EVALUATOR NAME:Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022