NATURE'S GIFT PRESCHOOL, LLC

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 September 21, 2022 at approximately 10:06am Licensing Program Analyst (LPA) R. Haderer arrived for a scheduled meeting with site director Yin Yin Mar to discuss the results of the recent lead test. There were 29 children in care and 7 fingerprint and associated staff present. The center is in ratio today. A lead test was completed for water locations intended for human consumption for faucets (Location A and B) on June 18, 2022 and analyzed on June 22, 2022. Location A is the sink in Room 4; Location B is the outside drinking fountain. The test results showed the lead levels on Location A were "ND - Analyte Not Detected" (no lead present). The results for Location B found 7.5 ppb level. A result with values of 5.5 ppb or greater is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction. The fountain was taken out of use since March 2020 (due to Covid). LPA completed 2 site inspections over the past two years and LPA witnessed the outside water fountain had been closed and noted this in the facility reviews on August 26, 2021 and also June 30, 2022. LPA stated "There is an outside drinking fountain that is not in use at this time (due to Covid concerns)." The center director believes the water fountain may not have been properly flushed prior to the sampling and therefore caused a false reading. A Plan of Correction will be discussed with the Church (property owner) and followed up by the agreed on a remedy of: 1. The faucet on the fountain will be replaced and a new sample and test will be conducted; or 2. The fountain will be converted into a handwashing basin and not used for human consumption; or 3. The Fountain will be permanently closed. A Type B deficiency was issued today, see LIC809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the site director Yin Yin Mar. SUPERVISORS NAME: Chandra Charles LICENSING EVALUATOR NAME: Russell Haderer LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022 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: NATURE'S GIFT PRESCHOOL, LLC FACILITY NUMBER: 013421978 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/21/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/21/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.1 2 3 4 5 6 7A Plan of Correction will be discussed with the Church (property owner) and followed up by the agreed on a remedy of: 8 9 10 11 12 13 148 9 10 11 12 13 141. The faucet on the fountain will be replaced and a new sample and test will be conducted; or 2. The fountain will be converted into a handwashing basin and not used for human consumption; or 3. The Fountain will be permanently closed. 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:Chandra Charles LICENSING EVALUATOR NAME:Russell Haderer LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022

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 September 21, 2022 at approximately 10:06am Licensing Program Analyst (LPA) R. Haderer arrived for a scheduled meeting with site director Yin Yin Mar to discuss the results of the recent lead test. There were 29 children in care and 7 fingerprint and associated staff present. The center is in ratio today. A lead test was completed for water locations intended for human consumption for faucets (Location A and B) on June 18, 2022 and analyzed on June 22, 2022. Location A is the sink in Room 4; Location B is the outside drinking fountain. The test results showed the lead levels on Location A were "ND - Analyte Not Detected" (no lead present). The results for Location B found 7.5 ppb level. A result with values of 5.5 ppb or greater is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction. The fountain was taken out of use since March 2020 (due to Covid). LPA completed 2 site inspections over the past two years and LPA witnessed the outside water fountain had been closed and noted this in the facility reviews on August 26, 2021 and also June 30, 2022. LPA stated "There is an outside drinking fountain that is not in use at this time (due to Covid concerns)." The center director believes the water fountain may not have been properly flushed prior to the sampling and therefore caused a false reading. A Plan of Correction will be discussed with the Church (property owner) and followed up by the agreed on a remedy of: 1. The faucet on the fountain will be replaced and a new sample and test will be conducted; or 2. The fountain will be converted into a handwashing basin and not used for human consumption; or 3. The Fountain will be permanently closed. A Type B deficiency was issued today, see LIC809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the site director Yin Yin Mar. SUPERVISORS NAME: Chandra Charles LICENSING EVALUATOR NAME: Russell Haderer LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022 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: NATURE'S GIFT PRESCHOOL, LLC FACILITY NUMBER: 013421978 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/21/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/21/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.1 2 3 4 5 6 7A Plan of Correction will be discussed with the Church (property owner) and followed up by the agreed on a remedy of: 8 9 10 11 12 13 148 9 10 11 12 13 141. The faucet on the fountain will be replaced and a new sample and test will be conducted; or 2. The fountain will be converted into a handwashing basin and not used for human consumption; or 3. The Fountain will be permanently closed. 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:Chandra Charles LICENSING EVALUATOR NAME:Russell Haderer LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022

Type B citation - potential risk if not corrected