HEAD START - MENLO 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 7/01/2022 at 10:00am, Licensing Program Analyst (LPA), Kevin O'Connell made a case management inspection and met with Director, Araceli Soto . The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5 ppb) of lead in the water: Faucet "E" - Menlo 2, classroom B "sink", 8.600 ppb The staff have made the faucet inaccessible by closing off the room to children. This classroom is not in use and has not been used since 5/26/22 when summer sessions started. They plan to reopen the classroom on 8/17/22 for fall classes. The faucet was replaced on 6/20/22 per the recommendations of the water test company. They will take a re-sample on 7/11/22 and the facility will update CCL when they receive the results. The following deficiency is being cited (see LIC 809D). A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Araceli Soto. SUPERVISORS NAME: Leslie Lepori LICENSING EVALUATOR NAME: Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022 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: HEAD START - MENLO CENTER FACILITY NUMBER: 280111518 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/01/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/25/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7Buildings and Grounds 101238(a) The child care center shall be clean, safe, sanitary and in good repair at all times to 1 2 3 4 5 6 7The Licensee posted a sign above the hand washing faucet. The Licensee replaced the faucet piece and it will be retested on 7/11/22. 8 9 10 11 12 13 14ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: Based on record review, the facility had 1 faucet that exceeded that allowable levels of lead in the water. This is a potential health and safety risk to children in care.8 9 10 11 12 13 14Retesting documents will be submitted within 2 weeks of the completed sampling-7/25/22. kevin.oconnell@dss.ca.gov 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:Leslie Lepori LICENSING EVALUATOR NAME:Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022

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 7/01/2022 at 10:00am, Licensing Program Analyst (LPA), Kevin O'Connell made a case management inspection and met with Director, Araceli Soto . The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5 ppb) of lead in the water: Faucet "E" - Menlo 2, classroom B "sink", 8.600 ppb The staff have made the faucet inaccessible by closing off the room to children. This classroom is not in use and has not been used since 5/26/22 when summer sessions started. They plan to reopen the classroom on 8/17/22 for fall classes. The faucet was replaced on 6/20/22 per the recommendations of the water test company. They will take a re-sample on 7/11/22 and the facility will update CCL when they receive the results. The following deficiency is being cited (see LIC 809D). A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Araceli Soto. SUPERVISORS NAME: Leslie Lepori LICENSING EVALUATOR NAME: Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022 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: HEAD START - MENLO CENTER FACILITY NUMBER: 280111518 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/01/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/25/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7Buildings and Grounds 101238(a) The child care center shall be clean, safe, sanitary and in good repair at all times to 1 2 3 4 5 6 7The Licensee posted a sign above the hand washing faucet. The Licensee replaced the faucet piece and it will be retested on 7/11/22. 8 9 10 11 12 13 14ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: Based on record review, the facility had 1 faucet that exceeded that allowable levels of lead in the water. This is a potential health and safety risk to children in care.8 9 10 11 12 13 14Retesting documents will be submitted within 2 weeks of the completed sampling-7/25/22. kevin.oconnell@dss.ca.gov 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:Leslie Lepori LICENSING EVALUATOR NAME:Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022

Type B citation - potential risk if not corrected