JOHN KNOX CO-OP PRESCHOOL

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) Jyoti Saini met with Director Leslie James to conduct a Case Management inspection for the Lead Testing results at this facility. In addition to the director, 26 children, six staff, and four co-op parents are present today. LPA inspected the facility for health and safety. It was concluded that three outlets (one faucet and two drinking fountains) exceeded the Action Level that was established by the state for exposure. The faucet (C) in room #C is not yet part of the license. The facility has permanently removed the playground's water fountain(D) and water fountain in room#B(A), which had a lead exceedance, and the facility is also in the process of rescheduling and retesting the Room#C faucet for potential use. LPA obtained photos of the faucet that exceeded 5.5 ppb. LPA received the documentation for the post-testing requirements. See the attached deficiency LIC809-D. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with the Director, Leslie James SUPERVISORS NAME: Wynn Norona LICENSING EVALUATOR NAME: Jyoti Saini LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024 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: JOHN KNOX CO-OP PRESCHOOL FACILITY NUMBER: 010200334 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/17/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/01/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1)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 7The facility has permanently removed the playground's water fountain(D) and water fountain in room#B(A) since 12/2022. The facility is also in the process of rescheduling and retesting the Room#C faucet for potential use. 8 9 10 11 12 13 14Licensee failed to maintain a lead value at or below the Action Level for water lead testing with values of 5.5 ppb or greater for outlet A,C,D. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink.”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:Wynn Norona LICENSING EVALUATOR NAME:Jyoti Saini LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024

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) Jyoti Saini met with Director Leslie James to conduct a Case Management inspection for the Lead Testing results at this facility. In addition to the director, 26 children, six staff, and four co-op parents are present today. LPA inspected the facility for health and safety. It was concluded that three outlets (one faucet and two drinking fountains) exceeded the Action Level that was established by the state for exposure. The faucet (C) in room #C is not yet part of the license. The facility has permanently removed the playground's water fountain(D) and water fountain in room#B(A), which had a lead exceedance, and the facility is also in the process of rescheduling and retesting the Room#C faucet for potential use. LPA obtained photos of the faucet that exceeded 5.5 ppb. LPA received the documentation for the post-testing requirements. See the attached deficiency LIC809-D. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with the Director, Leslie James SUPERVISORS NAME: Wynn Norona LICENSING EVALUATOR NAME: Jyoti Saini LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024 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: JOHN KNOX CO-OP PRESCHOOL FACILITY NUMBER: 010200334 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/17/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/01/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1)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 7The facility has permanently removed the playground's water fountain(D) and water fountain in room#B(A) since 12/2022. The facility is also in the process of rescheduling and retesting the Room#C faucet for potential use. 8 9 10 11 12 13 14Licensee failed to maintain a lead value at or below the Action Level for water lead testing with values of 5.5 ppb or greater for outlet A,C,D. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink.”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:Wynn Norona LICENSING EVALUATOR NAME:Jyoti Saini LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024