LA PETITE ACADEMY - SCHOOL-AGE DAY CARE 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 25On 9/23/22 at 3:00 pm, LPA Adrian Castellon made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Assistant Director Angelica Valdarrama. LPA interviewed assistant director and examined the faucets deemed an Action Level Exceedance. Faucets and spigot reported with 5.5 ppb or greater lead exceedance levels were as follows: School Age Classroom Faucet A (staff use only) 21.1 ppb School Age Classroom Faucet C (staff use only) 5.57 ppb Assistant Director stated faucets have not been used by staff since testing results have been received. Assistant Director states that faucets in exceedance are flushed four times daily and will be retested on 10/6 and 10/7. Children have been advised to bring water bottles to school each day and the facility uses a jug with a filter to provide refills. Extra bottles are available to children that forget their water bottles. Kitchen sink faucet used for food preparation was not in exceedance. All staff have been informed not to use the faucets in exceedance for drinking water or food preparation. See LIC809D for Type B deficiency cited. Exit interview conducted. Appeal rights were discussed and given to assistant director on this date. Notice of Site Visit was given to assistant director. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022 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: LA PETITE ACADEMY - SCHOOL-AGE DAY CARE CENTER FACILITY NUMBER: 376600097 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/23/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/23/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Written Directives: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by: 1 2 3 4 5 6 7Faucets have been made inaccessible and are no longer in use. Faucets are routinely flushed as required. A second testing will be completed on 10/6 and 10/7/22. Children have been advised to bring water bottles from home. Facility provides water from a filtered jug and sealed water bottles. 8 9 10 11 12 13 14Based on water testing results and interview, facility tested over the Action Level Exceedance level at two water sources (faucets). This may pose a health, safety or personal rights risk to 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022

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 9/23/22 at 3:00 pm, LPA Adrian Castellon made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Assistant Director Angelica Valdarrama. LPA interviewed assistant director and examined the faucets deemed an Action Level Exceedance. Faucets and spigot reported with 5.5 ppb or greater lead exceedance levels were as follows: School Age Classroom Faucet A (staff use only) 21.1 ppb School Age Classroom Faucet C (staff use only) 5.57 ppb Assistant Director stated faucets have not been used by staff since testing results have been received. Assistant Director states that faucets in exceedance are flushed four times daily and will be retested on 10/6 and 10/7. Children have been advised to bring water bottles to school each day and the facility uses a jug with a filter to provide refills. Extra bottles are available to children that forget their water bottles. Kitchen sink faucet used for food preparation was not in exceedance. All staff have been informed not to use the faucets in exceedance for drinking water or food preparation. See LIC809D for Type B deficiency cited. Exit interview conducted. Appeal rights were discussed and given to assistant director on this date. Notice of Site Visit was given to assistant director. SUPERVISORS NAME: Cynthia Gray LICENSING EVALUATOR NAME: Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022 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: LA PETITE ACADEMY - SCHOOL-AGE DAY CARE CENTER FACILITY NUMBER: 376600097 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/23/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/23/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Written Directives: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by: 1 2 3 4 5 6 7Faucets have been made inaccessible and are no longer in use. Faucets are routinely flushed as required. A second testing will be completed on 10/6 and 10/7/22. Children have been advised to bring water bottles from home. Facility provides water from a filtered jug and sealed water bottles. 8 9 10 11 12 13 14Based on water testing results and interview, facility tested over the Action Level Exceedance level at two water sources (faucets). This may pose a health, safety or personal rights risk to 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:Cynthia Gray LICENSING EVALUATOR NAME:Adrian Castellon LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022