STOCKDALE CHILD DEVELOPMENT CENTER

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 10/16/25 Licensing Program Analyst (LPA) Denisia Jimenez conducted an unannounced case management inspection. LPA Jimenez met with Site Supervisor Nancy Perez. The purpose of today’s inspection was to conduct a case management inspection and to notify the facility that there has been a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at facility resulting from a water lead sampling test that was done in 08/22/2025. Based on records reviewed from CRWA, the Outlet M sink faucet located in the staff breakroom showed an Action Level Exceedance (ALE) of 8.10 ppb, which is above the compliance threshold of 5.5 ppb. The Site Supervisor confirmed that the Outlet M sink is located in the staff breakroom and is not accessible to children. Per the Quality Assurance Coordinator, the supply lines and angle stops were replaced by a licensed plumber on 09/26/25. Once the sample results are synced to the portal, a re-test will be scheduled. In the meantime, the sink is not being used. The Site Supervisor agreed to continue with the resampling process to achieve a result below 5.5 ppb, in accordance with regulatory standards, using a Certified Sampler. Site Supervisor has notified authorized representatives of this corrective action in both languages; English and Spanish. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809D). Director was provided a copy of the appeal rights. An exit interview was conducted with Site Supervisor, Nancy Perez. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025 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 3 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 correctio

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 10/16/25 Licensing Program Analyst (LPA) Denisia Jimenez conducted an unannounced case management inspection. LPA Jimenez met with Site Supervisor Nancy Perez. The purpose of today’s inspection was to conduct a case management inspection and to notify the facility that there has been a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at facility resulting from a water lead sampling test that was done in 08/22/2025. Based on records reviewed from CRWA, the Outlet M sink faucet located in the staff breakroom showed an Action Level Exceedance (ALE) of 8.10 ppb, which is above the compliance threshold of 5.5 ppb. The Site Supervisor confirmed that the Outlet M sink is located in the staff breakroom and is not accessible to children. Per the Quality Assurance Coordinator, the supply lines and angle stops were replaced by a licensed plumber on 09/26/25. Once the sample results are synced to the portal, a re-test will be scheduled. In the meantime, the sink is not being used. The Site Supervisor agreed to continue with the resampling process to achieve a result below 5.5 ppb, in accordance with regulatory standards, using a Certified Sampler. Site Supervisor has notified authorized representatives of this corrective action in both languages; English and Spanish. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809D). Director was provided a copy of the appeal rights. An exit interview was conducted with Site Supervisor, Nancy Perez. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Scott Herring NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025 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 3 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 correctio