HIGHLAND HALL SCHOOL

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 05/19/2023 at 8:45 AM, Antonio Almanza, Licensing Program Analyst (LPA) conducted an unannounced case management visit for the purpose of following up on Action Lead Exceedance (ALE), facility inspection. LPA met with Cara Lisco, Director of Operations and toured the facility. During today’s visit there are 26 children and 8 teachers. Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 04/04/2023. The sample test for the water faucet/fountain located in the Parent Child room, identified on the facility sketch by letter “F”, tested at 31 bbp. Test samples testing over 5.5 ppb and above is considered an exceedance. During today’s visit LPA observed the water faucet/fountain located inside the Parent Child room covered with a plastic bag and “Do not use until removed by sampler” sign. The Director is reporting that the facility will place a water filter on the water outlet and have the water faucet/fountain retested. Licensee has posted lead testing results, in a location (facility lobby) consistent with the requirements of written directives 101703, section 1596.8595, subsection (b) of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility will notify all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water outlet “F”. During today’s visit LPA took pictures of the water outlet “F”. LPA received copies of External Water Sampler Self-Certification Form (LIC 9275); Child Care Center Sampling Checklist Form (LIC 9276); Facility Sketch (LIC 999) in which all water outlets are noted; and a copy of water testing results summary. SUPERVISORS NAME: Betty Bell LICENSING EVALUATOR NAME: Antonio Almanza LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023 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 3 FACILITY NAME: HIGHLAND HALL SCHOOLFACILITY NUMBER: 191201842 VISIT DATE: 05/19/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32During today’s visit one Type B violation is being issued per PIN 21.1-21-CCP, Title 22 Regulations, Division 12, and Subchapter 5: 101700.3(b)(1) California Lead Action Level at Child Care Centers: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. LPA emailed and provided the Director with the Provider Information Notice (PIN) 21.1-21CCP and Lead Testing in Child Care Centers Frequently Asked Questions. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. A copy of this Report (LIC809 & LIC809D), Appeal Rights (LIC9058) and Notice of Site Visit (LIC9213) were reviewed and provided to Cara Lisco, Director of Operations. SUPERVISORS NAME: Betty Bell LICENSING EVALUATOR NAME: Antonio Almanza LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023 FACILITY NAME: HIGHLAND HALL SCHOOL FACILITY NUMBER: 191201842 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/19/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This Requirement is not met as evidenced by: 1 2 3 4 5 6 7Facility has covered the water faucet/fountain with a plastic bag and “Do not use until removed by sampler” sign. 8 9 10 11 12 13 14Based on observation, interview and record review, The water faucet/fountain identified on the facility sketch by letter “F”, tested at 31 bbp which is considered an exceedance, which poses a potential Health or Safety, or personal rights risk to persons

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 05/19/2023 at 8:45 AM, Antonio Almanza, Licensing Program Analyst (LPA) conducted an unannounced case management visit for the purpose of following up on Action Lead Exceedance (ALE), facility inspection. LPA met with Cara Lisco, Director of Operations and toured the facility. During today’s visit there are 26 children and 8 teachers. Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 04/04/2023. The sample test for the water faucet/fountain located in the Parent Child room, identified on the facility sketch by letter “F”, tested at 31 bbp. Test samples testing over 5.5 ppb and above is considered an exceedance. During today’s visit LPA observed the water faucet/fountain located inside the Parent Child room covered with a plastic bag and “Do not use until removed by sampler” sign. The Director is reporting that the facility will place a water filter on the water outlet and have the water faucet/fountain retested. Licensee has posted lead testing results, in a location (facility lobby) consistent with the requirements of written directives 101703, section 1596.8595, subsection (b) of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility will notify all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water outlet “F”. During today’s visit LPA took pictures of the water outlet “F”. LPA received copies of External Water Sampler Self-Certification Form (LIC 9275); Child Care Center Sampling Checklist Form (LIC 9276); Facility Sketch (LIC 999) in which all water outlets are noted; and a copy of water testing results summary. SUPERVISORS NAME: Betty Bell LICENSING EVALUATOR NAME: Antonio Almanza LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023 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 3 FACILITY NAME: HIGHLAND HALL SCHOOLFACILITY NUMBER: 191201842 VISIT DATE: 05/19/2023 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32During today’s visit one Type B violation is being issued per PIN 21.1-21-CCP, Title 22 Regulations, Division 12, and Subchapter 5: 101700.3(b)(1) California Lead Action Level at Child Care Centers: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. LPA emailed and provided the Director with the Provider Information Notice (PIN) 21.1-21CCP and Lead Testing in Child Care Centers Frequently Asked Questions. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. A copy of this Report (LIC809 & LIC809D), Appeal Rights (LIC9058) and Notice of Site Visit (LIC9213) were reviewed and provided to Cara Lisco, Director of Operations. SUPERVISORS NAME: Betty Bell LICENSING EVALUATOR NAME: Antonio Almanza LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023 FACILITY NAME: HIGHLAND HALL SCHOOL FACILITY NUMBER: 191201842 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 06/19/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This Requirement is not met as evidenced by: 1 2 3 4 5 6 7Facility has covered the water faucet/fountain with a plastic bag and “Do not use until removed by sampler” sign. 8 9 10 11 12 13 14Based on observation, interview and record review, The water faucet/fountain identified on the facility sketch by letter “F”, tested at 31 bbp which is considered an exceedance, which poses a potential Health or Safety, or personal rights risk to persons