OPTIONS-STATE PRESCHOOL-NORTHAM

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 11/1/2023 Licensing Program Analysts (LPAs) Carolyn Tuba and Stephanie Li conducted an unannounced case management inspection. A COVID 19 risk assessment was conducted. LPAs arrived at the facility at 1:30 pm and met with Site Director/Lead Teacher, Sylvia Garcia and Maintenance Lead Tech, Joel Urista arrived shortly after. LPAs observed no children in care due to dismissal time had occurred at 12:00 PM. The purpose of today's inspection is to go over the water lead test results received on 08/22/2023. Results indicate that fixture “A” drinking fountain water source had action level exceedance of lead. The "A" drinking fountain water source located in the preschool classroom had a lead result of 6.3. During the visit, the Maintenance Lead Tech had stated that the drinking fountain has been removed and capped off. LPAs took photo. According to Site Director/Lead Teacher children are provided water from the kitchen sink that has been tested and there are no lead exceedances from that water source. LPA, Carolyn Tuba received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from the Andrea Butler, Facilities Administrative Coordinator prior to visit. A deficiency was cited on attached 809D. The deficiency listed on the following page were informed to LPAs and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited A notice of site visit was given to Site Director/Lead Teacher and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Site Director/Lead Teacher, Sylvia Garcia. page 1 of 1 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Carolyn Tuba LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023 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: OPTIONS-STATE PRESCHOOL-NORTHAM FACILITY NUMBER: 191500340 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 11/01/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/01/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. 1 2 3 4 5 6 7LPAs observed that the water fountain has been capped off and is no longer available to use. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) which poses/posed a potential health, safety or personal rights risk to persons 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:Ana Chico LICENSING EVALUATOR NAME:Carolyn Tuba LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023

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 11/1/2023 Licensing Program Analysts (LPAs) Carolyn Tuba and Stephanie Li conducted an unannounced case management inspection. A COVID 19 risk assessment was conducted. LPAs arrived at the facility at 1:30 pm and met with Site Director/Lead Teacher, Sylvia Garcia and Maintenance Lead Tech, Joel Urista arrived shortly after. LPAs observed no children in care due to dismissal time had occurred at 12:00 PM. The purpose of today's inspection is to go over the water lead test results received on 08/22/2023. Results indicate that fixture “A” drinking fountain water source had action level exceedance of lead. The "A" drinking fountain water source located in the preschool classroom had a lead result of 6.3. During the visit, the Maintenance Lead Tech had stated that the drinking fountain has been removed and capped off. LPAs took photo. According to Site Director/Lead Teacher children are provided water from the kitchen sink that has been tested and there are no lead exceedances from that water source. LPA, Carolyn Tuba received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from the Andrea Butler, Facilities Administrative Coordinator prior to visit. A deficiency was cited on attached 809D. The deficiency listed on the following page were informed to LPAs and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited A notice of site visit was given to Site Director/Lead Teacher and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Site Director/Lead Teacher, Sylvia Garcia. page 1 of 1 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Carolyn Tuba LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023 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: OPTIONS-STATE PRESCHOOL-NORTHAM FACILITY NUMBER: 191500340 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 11/01/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/01/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. 1 2 3 4 5 6 7LPAs observed that the water fountain has been capped off and is no longer available to use. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) which poses/posed a potential health, safety or personal rights risk to persons 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:Ana Chico LICENSING EVALUATOR NAME:Carolyn Tuba LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023