CORNERSTONE CHILDREN'S CENTER

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 25Licensing Program Analyst (LPA) Diana Campos conducted an unannounced case management inspection in regards to one faucet at the facility having a lead exceedance. Facility had the water tested 10/05/2023. It was found that one faucet in the classroom 6 bathroom, identified as faucet O, had lead that exceeded the acceptable amount of lead allowed in a child care center. The faucet identified has not been used for cooking or drinking water. No other faucets tested had lead exceedance. The faucet that had lead exceedance has been replaced and the facility was advised to cease use of this faucet. The facility will have the water retested. Director agrees to notify LPA of the retest date and send LPA the results of the testing. Notice of Site Visit was provided and must be posted for 30 days. Report was reviewed with Program Coordinator Jamie Peat. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Diana Campos LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023 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: CORNERSTONE CHILDREN'S CENTER FACILITY NUMBER: 010212245 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/07/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/05/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directive A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement has not been met as evidenced by:1 2 3 4 5 6 7Facility has replaced the faucet identified as faucet O and will have the water retested. Facility will submit a plan of action indicating the test date and how they will keep the faucet inoperable. Facility will forward a copy of the final report by the POC date. 8 9 10 11 12 13 14Based on record review a faucet at the facility (identified as faucet O) used by children had a lead exceedance, which poses a potential risk to the health and safety of children 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:Diana Campos LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Diana Campos conducted an unannounced case management inspection in regards to one faucet at the facility having a lead exceedance. Facility had the water tested 10/05/2023. It was found that one faucet in the classroom 6 bathroom, identified as faucet O, had lead that exceeded the acceptable amount of lead allowed in a child care center. The faucet identified has not been used for cooking or drinking water. No other faucets tested had lead exceedance. The faucet that had lead exceedance has been replaced and the facility was advised to cease use of this faucet. The facility will have the water retested. Director agrees to notify LPA of the retest date and send LPA the results of the testing. Notice of Site Visit was provided and must be posted for 30 days. Report was reviewed with Program Coordinator Jamie Peat. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Diana Campos LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023 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: CORNERSTONE CHILDREN'S CENTER FACILITY NUMBER: 010212245 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/07/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/05/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directive A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement has not been met as evidenced by:1 2 3 4 5 6 7Facility has replaced the faucet identified as faucet O and will have the water retested. Facility will submit a plan of action indicating the test date and how they will keep the faucet inoperable. Facility will forward a copy of the final report by the POC date. 8 9 10 11 12 13 14Based on record review a faucet at the facility (identified as faucet O) used by children had a lead exceedance, which poses a potential risk to the health and safety of children 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:Diana Campos LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023