BELLFLOWER UNIFIED SCHOOL DIST.-LAS FLORES SCHOOL

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 10/15/25, at 2:15pm, Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Case Management inspection to address Lead testing results in exceedance of recommended safe levels for water consumption. LPA met with Raquel Osuna, Facility Representative. There were 3 staff supervising 8 children. The purpose of today's inspection was to go over the water lead test results received on 9/16/25. Results show that 1 out of 4 water sources tested had action level exceedance of lead. The water fountain located in the kitchen/food prep area (Label C), had lead exceedance result of 18 ppb (Result with values of 5.0 ppb or greater shall be deemed an Action Level Exceedance). LPA observed that the kitchen/prep area to be barricaded by a wooden book shelf on one end and a half door on the other. This poses a potential risk to the health and safety of children in care. Per Facility Representative, children bring water bottles filled with water from home and if needed they refill their bottle with water from water fountains outside. LPA observed that the water faucet (lable C) water has been turned off). Per facility representative the water faucet (label C) will be removed as a plan of correction. LPA observed individual water bottles for children's use, and water fountain on the play ground area tested and lead level 1 or Not Detected. All food items were prepared in school kitchen and delivered daily to the facility ready to serve. One B deficiency was cited in accordance with Title 22 and Health and Safety regulations (see attached LIC 809D). The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Exit interview was conducted and report was reviewed with the Facility Representative, Raquel Osuna. NAME OF LICENSING PROGRAM MANAGER: Warren Birks NAME OF LICENSING PROGRAM ANALYST: Alicia Mooberry LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/15/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2025 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 an

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 10/15/25, at 2:15pm, Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Case Management inspection to address Lead testing results in exceedance of recommended safe levels for water consumption. LPA met with Raquel Osuna, Facility Representative. There were 3 staff supervising 8 children. The purpose of today's inspection was to go over the water lead test results received on 9/16/25. Results show that 1 out of 4 water sources tested had action level exceedance of lead. The water fountain located in the kitchen/food prep area (Label C), had lead exceedance result of 18 ppb (Result with values of 5.0 ppb or greater shall be deemed an Action Level Exceedance). LPA observed that the kitchen/prep area to be barricaded by a wooden book shelf on one end and a half door on the other. This poses a potential risk to the health and safety of children in care. Per Facility Representative, children bring water bottles filled with water from home and if needed they refill their bottle with water from water fountains outside. LPA observed that the water faucet (lable C) water has been turned off). Per facility representative the water faucet (label C) will be removed as a plan of correction. LPA observed individual water bottles for children's use, and water fountain on the play ground area tested and lead level 1 or Not Detected. All food items were prepared in school kitchen and delivered daily to the facility ready to serve. One B deficiency was cited in accordance with Title 22 and Health and Safety regulations (see attached LIC 809D). The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Exit interview was conducted and report was reviewed with the Facility Representative, Raquel Osuna. NAME OF LICENSING PROGRAM MANAGER: Warren Birks NAME OF LICENSING PROGRAM ANALYST: Alicia Mooberry LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/15/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2025 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 an