MUNCY EARLY HEAD START

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 1/27/23, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced case management inspection. LPA met with Shawnda Pombo, Site Supervisor for the purpose of conducting a case management inspection, regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from the Environmental Laboratory Accreditation Program (ELAP) report and self reported information for Muncy Early Head Start #503808604 impacted with an (ALE of 8.1 ppb in Outlet B Room 1 Drinking Fountain). This result indicated out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlet was temporarily made inoperable and removed. Site Supervisor is providing water to the children by means of a water dispenser service from a third party and potable water is also made available to visitors and staff during hours of operation. Parents have been notified of the (ALE ) Per PIN 20-20 CCP WD 101704 (b)(3). Facility also posted results for parents to review Per PIN 20-20 CCP WD 101703 (b). Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809 D). Site Supervisor was provided a copy of appeal rights. An exit interview was conducted. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. SUPERVISORS NAME: Cynthia Brannon LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023 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: MUNCY EARLY HEAD START FACILITY NUMBER: 503808604 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/27/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/27/2023 Section Cited 101700.3 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers (a) California’s Action Level for lead in water at Child Care Centers is 5 ppb. (b) 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. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.This requirement was not met evidenced by:1 2 3 4 5 6 7Site Supervisor notified and posted ALE results at a reasonable location for Authorized representatives to review. Site Supervisor provided evidence of removed Outlet B Room 1 Drinking Fountain. Deficiency cleared. 8 9 10 11 12 13 14Based on record review provided by licensee indicating (ALE) of 8.1 ppb in Outlet B Room 1 Drinking Fountain. This result indicates out of compliance over(ALE) 5.5 ppb, which poses 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:Cynthia Brannon LICENSING EVALUATOR NAME:Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023

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 1/27/23, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced case management inspection. LPA met with Shawnda Pombo, Site Supervisor for the purpose of conducting a case management inspection, regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from the Environmental Laboratory Accreditation Program (ELAP) report and self reported information for Muncy Early Head Start #503808604 impacted with an (ALE of 8.1 ppb in Outlet B Room 1 Drinking Fountain). This result indicated out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlet was temporarily made inoperable and removed. Site Supervisor is providing water to the children by means of a water dispenser service from a third party and potable water is also made available to visitors and staff during hours of operation. Parents have been notified of the (ALE ) Per PIN 20-20 CCP WD 101704 (b)(3). Facility also posted results for parents to review Per PIN 20-20 CCP WD 101703 (b). Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809 D). Site Supervisor was provided a copy of appeal rights. An exit interview was conducted. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. SUPERVISORS NAME: Cynthia Brannon LICENSING EVALUATOR NAME: Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023 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: MUNCY EARLY HEAD START FACILITY NUMBER: 503808604 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/27/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/27/2023 Section Cited 101700.3 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers (a) California’s Action Level for lead in water at Child Care Centers is 5 ppb. (b) 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. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.This requirement was not met evidenced by:1 2 3 4 5 6 7Site Supervisor notified and posted ALE results at a reasonable location for Authorized representatives to review. Site Supervisor provided evidence of removed Outlet B Room 1 Drinking Fountain. Deficiency cleared. 8 9 10 11 12 13 14Based on record review provided by licensee indicating (ALE) of 8.1 ppb in Outlet B Room 1 Drinking Fountain. This result indicates out of compliance over(ALE) 5.5 ppb, which poses 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:Cynthia Brannon LICENSING EVALUATOR NAME:Priscilla Zamudio LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2023