EL DORADO COUNTY FEDERATED CHURCH PRESCHOOL

Type B citation - 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 25Licensing Program Analyst (LPA) Soleil Marx met with Director, Kelly Reeves, to conduct an unannounced case management inspection regarding lead testing. During today's inspection there was a census of 21 preschool children being supervised by four staff. The purpose of today's inspection was to create a plan of correction following reports of a lead exceedance in one of the facility water outlets. On 02/11/2025, the facility tested water samples for lead. The Lead Testing identified that a water outlet has a Lead Exceedance over the amount of 5.5ppb. The water outlet sampled is marked D, which is the sink located in room #2, which has an exceedance level of 15ug/l. Usage of the sink was stopped immediately upon receiving the results. The facility utilizes a water jug filled in kitchen as a source for drinking water for children. The facility replaced the faucet, cold-water angle stop, and supply line to the sink for room #2 (or D as labeled). The re-testing of the sink was completed on 04/08/2025 and facility will notify LPA of results prior to utilizing the sink for anything other than hand washing. A type B deficiency is being cited on the subsequent page of the report and are considered a potential threat to the health and safety of children in care, if not corrected. An exit interview was conducted with the Director. LPA provided Director with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days along with the lead results for parental review. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Soleil Marx LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Soleil Marx met with Director, Kelly Reeves, to conduct an unannounced case management inspection regarding lead testing. During today's inspection there was a census of 21 preschool children being supervised by four staff. The purpose of today's inspection was to create a plan of correction following reports of a lead exceedance in one of the facility water outlets. On 02/11/2025, the facility tested water samples for lead. The Lead Testing identified that a water outlet has a Lead Exceedance over the amount of 5.5ppb. The water outlet sampled is marked D, which is the sink located in room #2, which has an exceedance level of 15ug/l. Usage of the sink was stopped immediately upon receiving the results. The facility utilizes a water jug filled in kitchen as a source for drinking water for children. The facility replaced the faucet, cold-water angle stop, and supply line to the sink for room #2 (or D as labeled). The re-testing of the sink was completed on 04/08/2025 and facility will notify LPA of results prior to utilizing the sink for anything other than hand washing. A type B deficiency is being cited on the subsequent page of the report and are considered a potential threat to the health and safety of children in care, if not corrected. An exit interview was conducted with the Director. LPA provided Director with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days along with the lead results for parental review. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Soleil Marx LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Soleil Marx met with Director, Kelly Reeves, to conduct an unannounced case management inspection regarding lead testing. During today's inspection there was a census of 21 preschool children being supervised by four staff. The purpose of today's inspection was to create a plan of correction following reports of a lead exceedance in one of the facility water outlets. On 02/11/2025, the facility tested water samples for lead. The Lead Testing identified that a water outlet has a Lead Exceedance over the amount of 5.5ppb. The water outlet sampled is marked D, which is the sink located in room #2, which has an exceedance level of 15ug/l. Usage of the sink was stopped immediately upon receiving the results. The facility utilizes a water jug filled in kitchen as a source for drinking water for children. The facility replaced the faucet, cold-water angle stop, and supply line to the sink for room #2 (or D as labeled). The re-testing of the sink was completed on 04/08/2025 and facility will notify LPA of results prior to utilizing the sink for anything other than hand washing. A type B deficiency is being cited on the subsequent page of the report and are considered a potential threat to the health and safety of children in care, if not corrected. An exit interview was conducted with the Director. LPA provided Director with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days along with the lead results for parental review. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Soleil Marx LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Soleil Marx met with Director, Kelly Reeves, to conduct an unannounced case management inspection regarding lead testing. During today's inspection there was a census of 21 preschool children being supervised by four staff. The purpose of today's inspection was to create a plan of correction following reports of a lead exceedance in one of the facility water outlets. On 02/11/2025, the facility tested water samples for lead. The Lead Testing identified that a water outlet has a Lead Exceedance over the amount of 5.5ppb. The water outlet sampled is marked D, which is the sink located in room #2, which has an exceedance level of 15ug/l. Usage of the sink was stopped immediately upon receiving the results. The facility utilizes a water jug filled in kitchen as a source for drinking water for children. The facility replaced the faucet, cold-water angle stop, and supply line to the sink for room #2 (or D as labeled). The re-testing of the sink was completed on 04/08/2025 and facility will notify LPA of results prior to utilizing the sink for anything other than hand washing. A type B deficiency is being cited on the subsequent page of the report and are considered a potential threat to the health and safety of children in care, if not corrected. An exit interview was conducted with the Director. LPA provided Director with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days along with the lead results for parental review. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Soleil Marx LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the