FUSD/JUNIPER ELEMENTARY

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Due to required lead testing requirements, Licensing Program Analyst (LPA), Justin Giese conducted a Case Management inspection based on lead testing results received from the facility. LPA toured the facility, took census and met with Permit Teacher, Algelina Aramburo to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet A (19ppb) which was identified as an indoor drinking fountain located inside the Multipurpose/Cafeteria and outlet G (10ppb) which was identified as an indoor drinking fountain located inside preschool classroom #2. LPA observed and obtained photos of required signage posted at the outlets A and G for cessation of use. Facility implemented the following plan of action until formal remediation can be completed: Outlet A, indoor drinking fountain located in multipurpose/cafeteria has been bagged and placed out of service. LPA observed a filtered/purified drinking water dispenser installed adjacent to outlet A. LPA was informed the preschool children eat breakfast in the multipurpose/cafeteria room in the mornings. Children often drink milk and orange juice, however; their personal water bottles can be refilled at the newly installed filtered water dispenser. Outlet G, indoor drinking fountain located within preschool classroom #2 has been bagged and placed out of service. The facility has additional drinking fountains available in classroom #2, additionally; children can utilizes individual water bottles for indoor/outdoor water consumption. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 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 3 FACILITY NAME: FUSD/JUNIPER ELEMENTARYFACILITY NUMBER: 360911195 VISIT DATE: 04/04/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32LPA was informed outlet A may be serviced and retested or completely removed. Facility is currently in the process of repair and retesting of fixture G. Additionally, LPA observed notification of lead results posted at the facility entry. Due to water outlets A and G testing above approved lead levels, a deficiency has been cited. See LIC809D for Type B Deficiency. Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Permit Teacher, Algelina Aramburo with a copy of this report and notice of site visit, which must be posted for the next 30 days. This report must be made available to the public upon request for the next three years. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 FACILITY NAME: FUSD/JUNIPER ELEMENTARY FACILITY NUMBER: 360911195 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/04/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/04/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6

Type B citation - potential risk if not corrected

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 25Due to required lead testing requirements, Licensing Program Analyst (LPA), Justin Giese conducted a Case Management inspection based on lead testing results received from the facility. LPA toured the facility, took census and met with Permit Teacher, Algelina Aramburo to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet A (19ppb) which was identified as an indoor drinking fountain located inside the Multipurpose/Cafeteria and outlet G (10ppb) which was identified as an indoor drinking fountain located inside preschool classroom #2. LPA observed and obtained photos of required signage posted at the outlets A and G for cessation of use. Facility implemented the following plan of action until formal remediation can be completed: Outlet A, indoor drinking fountain located in multipurpose/cafeteria has been bagged and placed out of service. LPA observed a filtered/purified drinking water dispenser installed adjacent to outlet A. LPA was informed the preschool children eat breakfast in the multipurpose/cafeteria room in the mornings. Children often drink milk and orange juice, however; their personal water bottles can be refilled at the newly installed filtered water dispenser. Outlet G, indoor drinking fountain located within preschool classroom #2 has been bagged and placed out of service. The facility has additional drinking fountains available in classroom #2, additionally; children can utilizes individual water bottles for indoor/outdoor water consumption. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 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 3 FACILITY NAME: FUSD/JUNIPER ELEMENTARYFACILITY NUMBER: 360911195 VISIT DATE: 04/04/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32LPA was informed outlet A may be serviced and retested or completely removed. Facility is currently in the process of repair and retesting of fixture G. Additionally, LPA observed notification of lead results posted at the facility entry. Due to water outlets A and G testing above approved lead levels, a deficiency has been cited. See LIC809D for Type B Deficiency. Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Permit Teacher, Algelina Aramburo with a copy of this report and notice of site visit, which must be posted for the next 30 days. This report must be made available to the public upon request for the next three years. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 FACILITY NAME: FUSD/JUNIPER ELEMENTARY FACILITY NUMBER: 360911195 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/04/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/04/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Due to required lead testing requirements, Licensing Program Analyst (LPA), Justin Giese conducted a Case Management inspection based on lead testing results received from the facility. LPA toured the facility, took census and met with Permit Teacher, Algelina Aramburo to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet A (19ppb) which was identified as an indoor drinking fountain located inside the Multipurpose/Cafeteria and outlet G (10ppb) which was identified as an indoor drinking fountain located inside preschool classroom #2. LPA observed and obtained photos of required signage posted at the outlets A and G for cessation of use. Facility implemented the following plan of action until formal remediation can be completed: Outlet A, indoor drinking fountain located in multipurpose/cafeteria has been bagged and placed out of service. LPA observed a filtered/purified drinking water dispenser installed adjacent to outlet A. LPA was informed the preschool children eat breakfast in the multipurpose/cafeteria room in the mornings. Children often drink milk and orange juice, however; their personal water bottles can be refilled at the newly installed filtered water dispenser. Outlet G, indoor drinking fountain located within preschool classroom #2 has been bagged and placed out of service. The facility has additional drinking fountains available in classroom #2, additionally; children can utilizes individual water bottles for indoor/outdoor water consumption. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 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 3 FACILITY NAME: FUSD/JUNIPER ELEMENTARYFACILITY NUMBER: 360911195 VISIT DATE: 04/04/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32LPA was informed outlet A may be serviced and retested or completely removed. Facility is currently in the process of repair and retesting of fixture G. Additionally, LPA observed notification of lead results posted at the facility entry. Due to water outlets A and G testing above approved lead levels, a deficiency has been cited. See LIC809D for Type B Deficiency. Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Permit Teacher, Algelina Aramburo with a copy of this report and notice of site visit, which must be posted for the next 30 days. This report must be made available to the public upon request for the next three years. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 FACILITY NAME: FUSD/JUNIPER ELEMENTARY FACILITY NUMBER: 360911195 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/04/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/04/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Due to required lead testing requirements, Licensing Program Analyst (LPA), Justin Giese conducted a Case Management inspection based on lead testing results received from the facility. LPA toured the facility, took census and met with Permit Teacher, Algelina Aramburo to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet A (19ppb) which was identified as an indoor drinking fountain located inside the Multipurpose/Cafeteria and outlet G (10ppb) which was identified as an indoor drinking fountain located inside preschool classroom #2. LPA observed and obtained photos of required signage posted at the outlets A and G for cessation of use. Facility implemented the following plan of action until formal remediation can be completed: Outlet A, indoor drinking fountain located in multipurpose/cafeteria has been bagged and placed out of service. LPA observed a filtered/purified drinking water dispenser installed adjacent to outlet A. LPA was informed the preschool children eat breakfast in the multipurpose/cafeteria room in the mornings. Children often drink milk and orange juice, however; their personal water bottles can be refilled at the newly installed filtered water dispenser. Outlet G, indoor drinking fountain located within preschool classroom #2 has been bagged and placed out of service. The facility has additional drinking fountains available in classroom #2, additionally; children can utilizes individual water bottles for indoor/outdoor water consumption. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 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 3 FACILITY NAME: FUSD/JUNIPER ELEMENTARYFACILITY NUMBER: 360911195 VISIT DATE: 04/04/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32LPA was informed outlet A may be serviced and retested or completely removed. Facility is currently in the process of repair and retesting of fixture G. Additionally, LPA observed notification of lead results posted at the facility entry. Due to water outlets A and G testing above approved lead levels, a deficiency has been cited. See LIC809D for Type B Deficiency. Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Permit Teacher, Algelina Aramburo with a copy of this report and notice of site visit, which must be posted for the next 30 days. This report must be made available to the public upon request for the next three years. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Justin Giese LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2023 FACILITY NAME: FUSD/JUNIPER ELEMENTARY FACILITY NUMBER: 360911195 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/04/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/04/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6