NORTHERN LIGHT SCHOOL

Type B citation from complaint investigation - potential risk if not corrected

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 11/28/23 at 2:30pm, Licensing Program Manager (LPM) Loretta Dyson arrived at the center for an unannounced case management inspection. LPM met with Evelyn Torres and Maryam Nazari, the teachers at the facility. There were 17 children and 1 additional staff also present. The facility completed the required lead testing of water outlets, and outlet B was found to be in exceedance of the Action Level of 5 ppb. The outlet is located outside of the preschool classroom, inside of the main school building. Staff advised that the outlet is not accessible to children. The facility was provided a copy of the test results and it was posted during the inspection. The facility plans to have the faucet replaced and the outlet retested. The facility understands that they are unable to use the outlet until they receive the test results, and the Action Level is 5 ppb or below. See LIC 809D for a deficiency being cited today. No other deficiencies are being cited today. An exit interview was conducted with Maryam Nazari, and a copy of this report, Notice of Site Visit, and appeal rights were provided. The facility was reminded to have the Notice of Site Visit posted for 30 days. SUPERVISORS NAME: Diane Perez LICENSING EVALUATOR NAME: Loretta Dyson LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023 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: NORTHERN LIGHT SCHOOL FACILITY NUMBER: 013417788 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 11/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/28/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 an1 2 3 4 5 6 7The facility is working on replacing the faucet, and will submit proof of the new test results, with Action Level at 5ppb or below, by 12/28/23. The facility understands that they cannot use the outlet until the Action Level is determined to be 5 ppb or below. 8 9 10 11 12 13 14Action Level Exceedance. This requirement has not been met as evidenced by the lead testing results received, indicating that two outlets in the facility had results in exceedance of the 5 ppb Action Level. This poses a potential risk to the 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:Diane Perez LICENSING EVALUATOR NAME:Loretta Dyson LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023

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 11/28/23 at 2:30pm, Licensing Program Manager (LPM) Loretta Dyson arrived at the center for an unannounced case management inspection. LPM met with Evelyn Torres and Maryam Nazari, the teachers at the facility. There were 17 children and 1 additional staff also present. The facility completed the required lead testing of water outlets, and outlet B was found to be in exceedance of the Action Level of 5 ppb. The outlet is located outside of the preschool classroom, inside of the main school building. Staff advised that the outlet is not accessible to children. The facility was provided a copy of the test results and it was posted during the inspection. The facility plans to have the faucet replaced and the outlet retested. The facility understands that they are unable to use the outlet until they receive the test results, and the Action Level is 5 ppb or below. See LIC 809D for a deficiency being cited today. No other deficiencies are being cited today. An exit interview was conducted with Maryam Nazari, and a copy of this report, Notice of Site Visit, and appeal rights were provided. The facility was reminded to have the Notice of Site Visit posted for 30 days. SUPERVISORS NAME: Diane Perez LICENSING EVALUATOR NAME: Loretta Dyson LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023 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: NORTHERN LIGHT SCHOOL FACILITY NUMBER: 013417788 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 11/28/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/28/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 an1 2 3 4 5 6 7The facility is working on replacing the faucet, and will submit proof of the new test results, with Action Level at 5ppb or below, by 12/28/23. The facility understands that they cannot use the outlet until the Action Level is determined to be 5 ppb or below. 8 9 10 11 12 13 14Action Level Exceedance. This requirement has not been met as evidenced by the lead testing results received, indicating that two outlets in the facility had results in exceedance of the 5 ppb Action Level. This poses a potential risk to the 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:Diane Perez LICENSING EVALUATOR NAME:Loretta Dyson LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023