VERITAS CHRISTIAN ACADEMY

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 6/27/2022 at 1:10pm, Licensing Program Analyst (LPA), Kevin O'Connell made a case management inspection and met with Director, Renee VanMaren . 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 "M" - playground drinking fountain, 40. 00ppb The staff have made the faucet inaccessible by the licensee removing the faucet from service by capping the pipe below the faucet and now the children have no way of using it. Children in care are receiving drinking water from individual tumblers from home that staff refill from faucets inside the facility as needed. 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 Renee VanMaren. SUPERVISORS NAME: Leslie Lepori LICENSING EVALUATOR NAME: Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022 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: VERITAS CHRISTIAN ACADEMY FACILITY NUMBER: 283009699 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/27/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/11/2022 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 7Licensee has made the faucet inaccessible the next day by capping off the pipe making the drinking fountain inoperable. 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 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:Leslie Lepori LICENSING EVALUATOR NAME:Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022

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 6/27/2022 at 1:10pm, Licensing Program Analyst (LPA), Kevin O'Connell made a case management inspection and met with Director, Renee VanMaren . 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 "M" - playground drinking fountain, 40. 00ppb The staff have made the faucet inaccessible by the licensee removing the faucet from service by capping the pipe below the faucet and now the children have no way of using it. Children in care are receiving drinking water from individual tumblers from home that staff refill from faucets inside the facility as needed. 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 Renee VanMaren. SUPERVISORS NAME: Leslie Lepori LICENSING EVALUATOR NAME: Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022 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: VERITAS CHRISTIAN ACADEMY FACILITY NUMBER: 283009699 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/27/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/11/2022 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 7Licensee has made the faucet inaccessible the next day by capping off the pipe making the drinking fountain inoperable. 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 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:Leslie Lepori LICENSING EVALUATOR NAME:Kevin O'Connell LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022

Type B citation - potential risk if not corrected