USC HEAD START

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 25On 06/27/2024, about 2:45PM, Licensing Program Analysts (LPAs) T. Tran and A. Carter conducted an unannounced case management inspection at USC Head Start. Upon arrival, LPAs met with site supervisor, Patty Venegas and we toured the facility. Per site supervisor, no children at the center due to summer break. The purpose of today's inspection was to go over the water lead test results received on 6/03/24. Results show that two water sources had action level exceedance of lead, located in the kitchen area with the lead result of 13 ppb. LPA observed that both sinks were covered with trash bags and tape pending for the faucets to be replaced and retested mid July. Facility will update LPA with the new result. A deficiency was cited to ensure that the water faucets noted would not be used as a drinking source or food preparation source for the children. The deficiency listed on the following page were observed by the 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 needs to be cleared to protect the children’s health & safety. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Patty Venegas. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Tiffanie Tran LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024 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: USC HEAD START FACILITY NUMBER: 191870897 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/27/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/31/2024 Section Cited HSC 101700.3(b)(1)–(b) 1 2 3 4 5 6 7 Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance This requirement was not met as evidence by record review. Lead test results showed that two water sources had an action level exceedance. 1 2 3 4 5 6 7Per facility representative, both fixtures with lead exceedance were covered with trash bags pending for the faucet to be replace and retest was scheduled for mid July. Facility will update RO with the resting result upon completion. 8 9 10 11 12 13 14LPA observed the sinks located in the kitchen area to be made inaccessible with plastic bags and tape pending for the faucets to be replaced and rested. This is a potential risk to the health and safety of the 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:Denise Gibbs LICENSING EVALUATOR NAME:Tiffanie Tran LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024

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 06/27/2024, about 2:45PM, Licensing Program Analysts (LPAs) T. Tran and A. Carter conducted an unannounced case management inspection at USC Head Start. Upon arrival, LPAs met with site supervisor, Patty Venegas and we toured the facility. Per site supervisor, no children at the center due to summer break. The purpose of today's inspection was to go over the water lead test results received on 6/03/24. Results show that two water sources had action level exceedance of lead, located in the kitchen area with the lead result of 13 ppb. LPA observed that both sinks were covered with trash bags and tape pending for the faucets to be replaced and retested mid July. Facility will update LPA with the new result. A deficiency was cited to ensure that the water faucets noted would not be used as a drinking source or food preparation source for the children. The deficiency listed on the following page were observed by the 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 needs to be cleared to protect the children’s health & safety. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Patty Venegas. SUPERVISORS NAME: Denise Gibbs LICENSING EVALUATOR NAME: Tiffanie Tran LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024 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: USC HEAD START FACILITY NUMBER: 191870897 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/27/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/31/2024 Section Cited HSC 101700.3(b)(1)–(b) 1 2 3 4 5 6 7 Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance This requirement was not met as evidence by record review. Lead test results showed that two water sources had an action level exceedance. 1 2 3 4 5 6 7Per facility representative, both fixtures with lead exceedance were covered with trash bags pending for the faucet to be replace and retest was scheduled for mid July. Facility will update RO with the resting result upon completion. 8 9 10 11 12 13 14LPA observed the sinks located in the kitchen area to be made inaccessible with plastic bags and tape pending for the faucets to be replaced and rested. This is a potential risk to the health and safety of the 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:Denise Gibbs LICENSING EVALUATOR NAME:Tiffanie Tran LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024

Type B citation - potential risk if not corrected

Type B citation from complaint investigation - potential risk if not corrected