ST JOHN'S PRESBYTERIAN NURSERY SCHOOL

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 4/20/2023, Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management visit. LPA Laureano was greeted by Brittany Wilson, facility director. Director guided LPA on a tour of the facility. There were 31 preschool children and 7 staff members providing care and supervision, including director and administrative assistant. 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 3/9/2023 exceeded allowable limit for lead. Samples testing over 5.5 ppb/ug L and above is considered an exceedance. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE) and conduct an inspection. On 4/14/2023 LPA Laureano received notification from director Brittany Wilson, informing CCL that LEAD water testing has been completed in the facility and will prepared the following documents to submit to LPA: LIC 9275, LIC 9276, Facility Sketch (water faucets/outlets identified), pictures of fixtures and test results. The facility has been identified to have 1 water faucet/outlet located in the Kitchen Area, “C” with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5pb, or greater. Facility Director confirmed the outlet/faucet identified as exceedance of lead shall remain inoperable. LPA Laureano observed water outlet/faucet identified with an Action Level Exceedance to be made inaccessible to the children in care; pictures were taken. LPA observed area to be taped, area is not an area accessible to the children in care. Director confirmed that children do not have access or are allowed in the space. LPA interviewed Director to ensure children do not have access to the identified sink/outlet that has been identified as exceedance of lead. SUPERVISORS NAME: Claudia Escobedo LICENSING EVALUATOR NAME: Judy Laureano LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2023 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 3 FACILITY NAME: ST JOHN'S PRESBYTERIAN NURSERY SCHOOLFACILITY NUMBER: 191600634 VISIT DATE: 04/20/2023 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 32Page 2 Children have access to water via Britta filter water pitcher in each classroom and water pitcher when children are outdoors. Children are encourage to bring in their own refillable water bottle to use throughout the day. LPA observed a filter water outdoors and in the classrooms; making water readily accessible to children in care. Based on observation, interview and sampling records it has been determined that there was a violation of Licensing Regulation Title Division 12, Chapter 1, Subchapter 5 – California Lead Action Level at Child Care Centers 101700.3(b)(1), “A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance”. Lead water testing samples taken 3/9/2023 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today’s visit 4/20/2023. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. In Accordance with California Code of Regulations. Refer to LIC 809-D. LPA discussed Proof of Correction (POC) with Director. Faucet/water outlet “C”, identified with an Action Lead Exceedance of 5.5 ppb or over has been made inaccessible to the children in care. The outlet will not be accessible for use until a retest has occurred. A notification of letter was drafted and sent out by facility to parents with notification of cease of water outlet and remediation for planned for water outlets or alternative. Facility emailed LPA a copy of the letter via email on 4/14/2023. Facility will work on scheduling for a second test of identified outlet when repairs are completed. Director will email LPA a copy of the re-test summary once completed. Instructions for required lead testing are outlined in PIN 21-21. 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 Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation

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 4/20/2023, Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management visit. LPA Laureano was greeted by Brittany Wilson, facility director. Director guided LPA on a tour of the facility. There were 31 preschool children and 7 staff members providing care and supervision, including director and administrative assistant. 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 3/9/2023 exceeded allowable limit for lead. Samples testing over 5.5 ppb/ug L and above is considered an exceedance. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE) and conduct an inspection. On 4/14/2023 LPA Laureano received notification from director Brittany Wilson, informing CCL that LEAD water testing has been completed in the facility and will prepared the following documents to submit to LPA: LIC 9275, LIC 9276, Facility Sketch (water faucets/outlets identified), pictures of fixtures and test results. The facility has been identified to have 1 water faucet/outlet located in the Kitchen Area, “C” with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5pb, or greater. Facility Director confirmed the outlet/faucet identified as exceedance of lead shall remain inoperable. LPA Laureano observed water outlet/faucet identified with an Action Level Exceedance to be made inaccessible to the children in care; pictures were taken. LPA observed area to be taped, area is not an area accessible to the children in care. Director confirmed that children do not have access or are allowed in the space. LPA interviewed Director to ensure children do not have access to the identified sink/outlet that has been identified as exceedance of lead. SUPERVISORS NAME: Claudia Escobedo LICENSING EVALUATOR NAME: Judy Laureano LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2023 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 3 FACILITY NAME: ST JOHN'S PRESBYTERIAN NURSERY SCHOOLFACILITY NUMBER: 191600634 VISIT DATE: 04/20/2023 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 32Page 2 Children have access to water via Britta filter water pitcher in each classroom and water pitcher when children are outdoors. Children are encourage to bring in their own refillable water bottle to use throughout the day. LPA observed a filter water outdoors and in the classrooms; making water readily accessible to children in care. Based on observation, interview and sampling records it has been determined that there was a violation of Licensing Regulation Title Division 12, Chapter 1, Subchapter 5 – California Lead Action Level at Child Care Centers 101700.3(b)(1), “A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance”. Lead water testing samples taken 3/9/2023 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today’s visit 4/20/2023. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. In Accordance with California Code of Regulations. Refer to LIC 809-D. LPA discussed Proof of Correction (POC) with Director. Faucet/water outlet “C”, identified with an Action Lead Exceedance of 5.5 ppb or over has been made inaccessible to the children in care. The outlet will not be accessible for use until a retest has occurred. A notification of letter was drafted and sent out by facility to parents with notification of cease of water outlet and remediation for planned for water outlets or alternative. Facility emailed LPA a copy of the letter via email on 4/14/2023. Facility will work on scheduling for a second test of identified outlet when repairs are completed. Director will email LPA a copy of the re-test summary once completed. Instructions for required lead testing are outlined in PIN 21-21. 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 Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation

Type B citation - potential risk if not corrected