CATALYST KIDS-PLAZA VISTA

Type A citation from complaint investigation - immediate risk

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) Nguyen Tran conducted an unannounced Case Management visit. LPA met with Director, Karen Barbosa to discuss the Lead Sampling Testing conducted on 06/25/22. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 06/25/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE). Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations. Child Care Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement. Director was advised on 09/12/22 that the Lead Sample Report was to be posted. Director stated the outlet D in room CC3 with a high levels of lead at 7.3, was made inoperable and the test result was posted on 07/12/2022. The Irvine Unified School District had sent staff to come to replace the faucet D on 07/12/2022 and the Forensic Analytical Consulting Services, returned to retest the water coming from faucet D on 08/03/2022. Faucet D was tested at 1.0 on 08/03/2022, and had met the requirement to be put back in usage. The result of the retest was posted. LPA verified that the test sample results were posted and verified documentation of the action that the facility had taken to fix outlet D. During the time of the faucet D was out of use, Director stated that the facility was using filtered water that came from another faucet, which did not exceed the lead level, in room CC1. (Continue next page) SUPERVISORS NAME: Rina Lopez LICENSING EVALUATOR NAME: Nguyen K Tran LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022 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 3 FACILITY NAME: CATALYST KIDS-PLAZA VISTAFACILITY NUMBER: 304270590 VISIT DATE: 09/13/2022 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 32(Page 2 of Report) Based on LPA's observation, interview with Director, review of facility's sketch and documentation regarding action taken to fix the identified outlet, the following violation was observed and is being cited in accordance with Written Directives Section 101700.3 (b)(1) California Lead Action Level at Child Care Centersc is being cited on the attached LIC 809D. Exit interview conducted and report was reviewed with Director Karen Barbosa. A notice of site visit was given and must remain posted for 30 days. Appeal Rights and deficiency were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. (End of Report) SUPERVISORS NAME: Rina Lopez LICENSING EVALUATOR NAME: Nguyen K Tran LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022 FACILITY NAME: CATALYST KIDS-PLAZA VISTA FACILITY NUMBER: 304270590 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/13/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 09/13/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (b) Testing results...comparing to the Action Level. (1) A result with values of 5.5 part per billion or greater shall be deemed an Action Level Exceedance. This requirement was not met evidenced by: 1 2 3 4 5 6 7Director stated that facility followed Writtent Directives and submitted all required documentation including LIC 9275, 9276, plan of correction and details of steps taken to resolve the deficiency. 8 9 10 11 12 13 14Lab report analysis water from Outlet D (7.3 parts

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) Nguyen Tran conducted an unannounced Case Management visit. LPA met with Director, Karen Barbosa to discuss the Lead Sampling Testing conducted on 06/25/22. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 06/25/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE). Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations. Child Care Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement. Director was advised on 09/12/22 that the Lead Sample Report was to be posted. Director stated the outlet D in room CC3 with a high levels of lead at 7.3, was made inoperable and the test result was posted on 07/12/2022. The Irvine Unified School District had sent staff to come to replace the faucet D on 07/12/2022 and the Forensic Analytical Consulting Services, returned to retest the water coming from faucet D on 08/03/2022. Faucet D was tested at 1.0 on 08/03/2022, and had met the requirement to be put back in usage. The result of the retest was posted. LPA verified that the test sample results were posted and verified documentation of the action that the facility had taken to fix outlet D. During the time of the faucet D was out of use, Director stated that the facility was using filtered water that came from another faucet, which did not exceed the lead level, in room CC1. (Continue next page) SUPERVISORS NAME: Rina Lopez LICENSING EVALUATOR NAME: Nguyen K Tran LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022 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 3 FACILITY NAME: CATALYST KIDS-PLAZA VISTAFACILITY NUMBER: 304270590 VISIT DATE: 09/13/2022 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 32(Page 2 of Report) Based on LPA's observation, interview with Director, review of facility's sketch and documentation regarding action taken to fix the identified outlet, the following violation was observed and is being cited in accordance with Written Directives Section 101700.3 (b)(1) California Lead Action Level at Child Care Centersc is being cited on the attached LIC 809D. Exit interview conducted and report was reviewed with Director Karen Barbosa. A notice of site visit was given and must remain posted for 30 days. Appeal Rights and deficiency were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above. (End of Report) SUPERVISORS NAME: Rina Lopez LICENSING EVALUATOR NAME: Nguyen K Tran LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022 FACILITY NAME: CATALYST KIDS-PLAZA VISTA FACILITY NUMBER: 304270590 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/13/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 09/13/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (b) Testing results...comparing to the Action Level. (1) A result with values of 5.5 part per billion or greater shall be deemed an Action Level Exceedance. This requirement was not met evidenced by: 1 2 3 4 5 6 7Director stated that facility followed Writtent Directives and submitted all required documentation including LIC 9275, 9276, plan of correction and details of steps taken to resolve the deficiency. 8 9 10 11 12 13 14Lab report analysis water from Outlet D (7.3 parts

Type B citation - potential risk if not corrected