ROSE CHILD DEVELOPMENT CENTER

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 Wednesday February 01, 2023 at 10:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Case Management - Lead Testing/Exceedance Visit. LPA met with the Site Administrator on Duty Cheryl Rivera and Head Teacher Juana Castillo and explained the nature of the visit. LPA discussed to the Site Administrator about the PIN 21-21.1-CCP - WRITTEN DIRECTIVES FOR LEAD TESTING OF WATER IN LICENSED CHILD CARE CENTERS (CCC) PURSUANT TO AB 2370 CHAPTER 676, STATUTES OF 2018 https://www.cdss.ca.gov/Portals/9/CCLD/PINs/2021/CCP/PIN-21-21_1-CCP.pdf Health and Safety (HSC) Code section 1597.16 authorizes the Department to implement and administer the health and safety requirements related to lead exposure and testing at CCCs through written instructions until it adopts regulations under the Administrative Procedure Act. The facility Sample ID's 430703793 F & I had a Lead Action Level of Exceedance Response. The Sample taken on 12/08/2022 and Date of Analysis on 12/15/2022. Water Sample Results Reported on 12/19/2022. The facility developed a Plan of Correction via email on 12/21/2022. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809D page for the citation. LPA generated a Proof of Correction Clearance Letter and provided a copy to the Director. Exit interview was conducted with the Site Administrator on Duty Cheryl Rivera. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Manel Estoesta LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023 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: ROSE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430703793 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/01/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/01/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.....1 2 3 4 5 6 7The facility developed a Plan of Correction via email on 12/21/2022. Part of he facility Remediation plan was by replacement of the water outlets that had a Lead Action Level of Exceedance Response. 8 9 10 11 12 13 14The facility Sample ID's 430703793 F & I had a Lead Action Level of Exceedance Response which poses a potential health, safety and personal rights risk to children in care.8 9 10 11 12 13 14During the remediation plan, bottled water is being used in place of water outlets that are out of service. The facility is still working on water resampling. 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:Jason Jang LICENSING EVALUATOR NAME:Manel Estoesta LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023

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 Wednesday February 01, 2023 at 10:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Case Management - Lead Testing/Exceedance Visit. LPA met with the Site Administrator on Duty Cheryl Rivera and Head Teacher Juana Castillo and explained the nature of the visit. LPA discussed to the Site Administrator about the PIN 21-21.1-CCP - WRITTEN DIRECTIVES FOR LEAD TESTING OF WATER IN LICENSED CHILD CARE CENTERS (CCC) PURSUANT TO AB 2370 CHAPTER 676, STATUTES OF 2018 https://www.cdss.ca.gov/Portals/9/CCLD/PINs/2021/CCP/PIN-21-21_1-CCP.pdf Health and Safety (HSC) Code section 1597.16 authorizes the Department to implement and administer the health and safety requirements related to lead exposure and testing at CCCs through written instructions until it adopts regulations under the Administrative Procedure Act. The facility Sample ID's 430703793 F & I had a Lead Action Level of Exceedance Response. The Sample taken on 12/08/2022 and Date of Analysis on 12/15/2022. Water Sample Results Reported on 12/19/2022. The facility developed a Plan of Correction via email on 12/21/2022. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809D page for the citation. LPA generated a Proof of Correction Clearance Letter and provided a copy to the Director. Exit interview was conducted with the Site Administrator on Duty Cheryl Rivera. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Manel Estoesta LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023 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: ROSE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430703793 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 02/01/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/01/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.....1 2 3 4 5 6 7The facility developed a Plan of Correction via email on 12/21/2022. Part of he facility Remediation plan was by replacement of the water outlets that had a Lead Action Level of Exceedance Response. 8 9 10 11 12 13 14The facility Sample ID's 430703793 F & I had a Lead Action Level of Exceedance Response which poses a potential health, safety and personal rights risk to children in care.8 9 10 11 12 13 14During the remediation plan, bottled water is being used in place of water outlets that are out of service. The facility is still working on water resampling. 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:Jason Jang LICENSING EVALUATOR NAME:Manel Estoesta LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023

Type B citation - potential risk if not corrected