FUSD-PORTER ELEMENTARY

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 1/27/23 at 1:00 pm, Licensing Program Analyst (LPA), Patricia Berry conducted a Case Management inspection due to required lead testing requirements based on lead testing results received on the facility for outlet: (F) 8.0. LPA toured the facility, took census and met with Roseann Ramirez/Lead Teacher 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 outlet identified with lead exceedances: Outlet: (F) 8.0, was identified. LPA took photos of required signage for cessation of use. Facility implemented the following plan of action until formal remediation can be completed on water outlet: (F) 8.0. Covered water outlet, posted required signage for non-use and will complete repairs to the outlet affected. Outlet: (F) 8.0 is a drinking fountain in classroom F102, children are not using the outlet. Facility is in the process of repairs and retesting. LPA observed notification of lead results posted at the facility: Front door to classroom. Photos also obtained of additional source for access to water -include children bring there own water bottles and the facility provides water bottles as well. Due to facility water outlet testing for lead exceedance level above approved lead levels, a deficiency has been cited. See LIC809D. Exit interview conducted with Roseann Ramirez/Lead Teacher, report, appeal rights and notice of site visit issued. Notice of site visit must be posted for 30 days. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Patricia Berry LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023 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: FUSD-PORTER ELEMENTARY FACILITY NUMBER: 364811644 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/27/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 02/27/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers 101700.3 (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 evidence by1 2 3 4 5 6 7Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlet testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level. 8 9 10 11 12 13 14Based on records review of required lead testing, the facility had lead values of 5.5 ppb or above on water outlet: (F) 8.0 This is a potential health and safety risk to persons in care.8 9 10 11 12 13 14Facility will notify CDSS with completion by POC due date: 2/27/23. Facility will complete repairs and comple re-flush process required for retesting. 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:Gilbert Sena LICENSING EVALUATOR NAME:Patricia Berry LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 1/27/23 at 1:00 pm, Licensing Program Analyst (LPA), Patricia Berry conducted a Case Management inspection due to required lead testing requirements based on lead testing results received on the facility for outlet: (F) 8.0. LPA toured the facility, took census and met with Roseann Ramirez/Lead Teacher 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 outlet identified with lead exceedances: Outlet: (F) 8.0, was identified. LPA took photos of required signage for cessation of use. Facility implemented the following plan of action until formal remediation can be completed on water outlet: (F) 8.0. Covered water outlet, posted required signage for non-use and will complete repairs to the outlet affected. Outlet: (F) 8.0 is a drinking fountain in classroom F102, children are not using the outlet. Facility is in the process of repairs and retesting. LPA observed notification of lead results posted at the facility: Front door to classroom. Photos also obtained of additional source for access to water -include children bring there own water bottles and the facility provides water bottles as well. Due to facility water outlet testing for lead exceedance level above approved lead levels, a deficiency has been cited. See LIC809D. Exit interview conducted with Roseann Ramirez/Lead Teacher, report, appeal rights and notice of site visit issued. Notice of site visit must be posted for 30 days. SUPERVISORS NAME: Gilbert Sena LICENSING EVALUATOR NAME: Patricia Berry LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023 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: FUSD-PORTER ELEMENTARY FACILITY NUMBER: 364811644 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/27/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 02/27/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers 101700.3 (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 evidence by1 2 3 4 5 6 7Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlet testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level. 8 9 10 11 12 13 14Based on records review of required lead testing, the facility had lead values of 5.5 ppb or above on water outlet: (F) 8.0 This is a potential health and safety risk to persons in care.8 9 10 11 12 13 14Facility will notify CDSS with completion by POC due date: 2/27/23. Facility will complete repairs and comple re-flush process required for retesting. 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:Gilbert Sena LICENSING EVALUATOR NAME:Patricia Berry LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023