CATALYST KIDS - KING CITY MIGRANT

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 10/17/2022 at 10:40 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with administrator, Gabriela Gonzalez, for a case management visit in regards to the lead testing results submitted by the facility and explained the reason for the visit to them. Present were 10 staff with 28 children in care. Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet. Administrator stated the faucets were fixed immediately and facility staff were asked to turn on the water every day for 30 seconds and to log it, LPA observed facility staff have been logging when they open the water faucet. Administrator stated the water sampling company will be returning this Thursday and Friday (10/20 and 10/21) to test the water again. Administrator stated the faucet is not being used at this time and will be used pending upcoming test results. Type B deficiency was cited during today's visit. Administrator was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. Exit interview conducted and report was reviewed with the administrator, Gabriela Gonzalez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Mary Segura LICENSING EVALUATOR NAME: Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022 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: CATALYST KIDS - KING CITY MIGRANT FACILITY NUMBER: 270703764 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/17/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 10/17/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.1 2 3 4 5 6 7Facility repaired faucets and are currently not being used. 8 9 10 11 12 13 14Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet.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:Mary Segura LICENSING EVALUATOR NAME:Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022

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 10/17/2022 at 10:40 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with administrator, Gabriela Gonzalez, for a case management visit in regards to the lead testing results submitted by the facility and explained the reason for the visit to them. Present were 10 staff with 28 children in care. Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet. Administrator stated the faucets were fixed immediately and facility staff were asked to turn on the water every day for 30 seconds and to log it, LPA observed facility staff have been logging when they open the water faucet. Administrator stated the water sampling company will be returning this Thursday and Friday (10/20 and 10/21) to test the water again. Administrator stated the faucet is not being used at this time and will be used pending upcoming test results. Type B deficiency was cited during today's visit. Administrator was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. Exit interview conducted and report was reviewed with the administrator, Gabriela Gonzalez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Mary Segura LICENSING EVALUATOR NAME: Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022 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: CATALYST KIDS - KING CITY MIGRANT FACILITY NUMBER: 270703764 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/17/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 10/17/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.1 2 3 4 5 6 7Facility repaired faucets and are currently not being used. 8 9 10 11 12 13 14Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet.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:Mary Segura LICENSING EVALUATOR NAME:Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022

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 10/17/2022 at 10:40 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with administrator, Gabriela Gonzalez, for a case management visit in regards to the lead testing results submitted by the facility and explained the reason for the visit to them. Present were 10 staff with 28 children in care. Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet. Administrator stated the faucets were fixed immediately and facility staff were asked to turn on the water every day for 30 seconds and to log it, LPA observed facility staff have been logging when they open the water faucet. Administrator stated the water sampling company will be returning this Thursday and Friday (10/20 and 10/21) to test the water again. Administrator stated the faucet is not being used at this time and will be used pending upcoming test results. Type B deficiency was cited during today's visit. Administrator was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. Exit interview conducted and report was reviewed with the administrator, Gabriela Gonzalez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Mary Segura LICENSING EVALUATOR NAME: Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022 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: CATALYST KIDS - KING CITY MIGRANT FACILITY NUMBER: 270703764 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/17/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 10/17/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.1 2 3 4 5 6 7Facility repaired faucets and are currently not being used. 8 9 10 11 12 13 14Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet.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:Mary Segura LICENSING EVALUATOR NAME:Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022

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 10/17/2022 at 10:40 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with administrator, Gabriela Gonzalez, for a case management visit in regards to the lead testing results submitted by the facility and explained the reason for the visit to them. Present were 10 staff with 28 children in care. Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet. Administrator stated the faucets were fixed immediately and facility staff were asked to turn on the water every day for 30 seconds and to log it, LPA observed facility staff have been logging when they open the water faucet. Administrator stated the water sampling company will be returning this Thursday and Friday (10/20 and 10/21) to test the water again. Administrator stated the faucet is not being used at this time and will be used pending upcoming test results. Type B deficiency was cited during today's visit. Administrator was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. Exit interview conducted and report was reviewed with the administrator, Gabriela Gonzalez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. SUPERVISORS NAME: Mary Segura LICENSING EVALUATOR NAME: Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022 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: CATALYST KIDS - KING CITY MIGRANT FACILITY NUMBER: 270703764 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/17/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 10/17/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.1 2 3 4 5 6 7Facility repaired faucets and are currently not being used. 8 9 10 11 12 13 14Facility submitted that there is an exceedance of about 12 (ppb) in the preschool kitchen prep faucet.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:Mary Segura LICENSING EVALUATOR NAME:Susy Cervantes LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022