COUNTRY PRESCHOOL, THE

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 February 14, 2023, at approximately 10:00 AM Licensing Program Analyst (LPA) Matthew Gallo met with facility representative Lynette Bulick to conduct an unannounced case management inspection to address a lead exceedance received by the Department. Director Patsy Reiswig was also present. Upon arrival, LPA observed 28 preschool children in care supervised by 4 staff. The purpose of today's inspection is to create a plan of correction following reports of lead exceedance in outlets tested in the facility. Assembly Bill (AB) 2370, Chapter 676, Statues of 2018, requires all Child Care Center (CCC) licensee with facilities built before January 1, 2010, to test their water outlets used for drinking and food preparation. On 12/30/2022, the facility tested water samples for lead. Results received by the Licensing office showed an exceedance measuring 5.97 ppb. Representative Bulick states that since the test results they have forbidden the faucet from being used for anything but handwashing by staff, and LPA observed signs over faucet with the warning Facet is NOT to be used for drinking or food prep. Washing hands only" alongside copies of lead exceedence report. A separate, cleared drinking faucet in the room is currently used for alternative water consumption. Bulick stated and showed confirmation that further testing would occur on 2/23/2023. A deficiency is cited on the following LIC809-D and a plan of correction was created with the facility representative, Lynette Bulick, who reviewed this report and was provided Appeal Rights and Notice of Site Visit by LPA. SUPERVISORS NAME: Keven Peters LICENSING EVALUATOR NAME: Matthew Gallo LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023 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: COUNTRY PRESCHOOL, THE FACILITY NUMBER: 290310525 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/14/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/14/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers (b) Testing results with ... (1) ... "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 7To correct the deficiency, facility will continue to not use the faucet for drinking or food preparation and keep their warning posted. LPA will follow up with director/owner after results of 2/23/23 test are obtained to ensure compliant ppb levels and that affected outlets have been repaired or replaced 8 9 10 11 12 13 14Record review shows one water outlet tested in exceedance of the allowed 5.5 ppb, which poses a potential 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:Keven Peters LICENSING EVALUATOR NAME:Matthew Gallo LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023

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 February 14, 2023, at approximately 10:00 AM Licensing Program Analyst (LPA) Matthew Gallo met with facility representative Lynette Bulick to conduct an unannounced case management inspection to address a lead exceedance received by the Department. Director Patsy Reiswig was also present. Upon arrival, LPA observed 28 preschool children in care supervised by 4 staff. The purpose of today's inspection is to create a plan of correction following reports of lead exceedance in outlets tested in the facility. Assembly Bill (AB) 2370, Chapter 676, Statues of 2018, requires all Child Care Center (CCC) licensee with facilities built before January 1, 2010, to test their water outlets used for drinking and food preparation. On 12/30/2022, the facility tested water samples for lead. Results received by the Licensing office showed an exceedance measuring 5.97 ppb. Representative Bulick states that since the test results they have forbidden the faucet from being used for anything but handwashing by staff, and LPA observed signs over faucet with the warning Facet is NOT to be used for drinking or food prep. Washing hands only" alongside copies of lead exceedence report. A separate, cleared drinking faucet in the room is currently used for alternative water consumption. Bulick stated and showed confirmation that further testing would occur on 2/23/2023. A deficiency is cited on the following LIC809-D and a plan of correction was created with the facility representative, Lynette Bulick, who reviewed this report and was provided Appeal Rights and Notice of Site Visit by LPA. SUPERVISORS NAME: Keven Peters LICENSING EVALUATOR NAME: Matthew Gallo LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023 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: COUNTRY PRESCHOOL, THE FACILITY NUMBER: 290310525 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/14/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/14/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers (b) Testing results with ... (1) ... "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 7To correct the deficiency, facility will continue to not use the faucet for drinking or food preparation and keep their warning posted. LPA will follow up with director/owner after results of 2/23/23 test are obtained to ensure compliant ppb levels and that affected outlets have been repaired or replaced 8 9 10 11 12 13 14Record review shows one water outlet tested in exceedance of the allowed 5.5 ppb, which poses a potential 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:Keven Peters LICENSING EVALUATOR NAME:Matthew Gallo LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023