QUARRY LANE SCHOOL, THE

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 25On April 26, 2023 at approximately 1:20PM License program Analyst (LPA) Lorraine Dacanay Breaux conducted a unannounced Case Management - Lead Testing/Exceedance Visit. LPA met with the Director Elizabeth Villarreal and explained the nature of the visit. LPA Toured the facility for Health and Safety. There were 88 children in care with 13 fingerprint cleared staff. On March 24, 2023, the sampling vendor pulled the water samples. The samples were drawn for 10 water locations in the facility. Lab results analyzed found that locations Rooms: 29, 26, 25, 24, 22, 19, 31, 34, 33 and drinking fountain near office showed lead levels values greater than 5.5 ppb is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction. Currently, children bring their own bottled water from home and if when needed, the water bottles are refilled from the kitchen faucet and/or staff kitchen. The facility does not prepare or cook food. The center has shut down all faucets for water consumption within the mentioned classrooms and labeled "Do Not Use". The facility will developed a Plan of Correction (POC) and email LPA. The facility's POC is currently set in place facility has immediately stopped using the water outlets. Also, the facility is working decided if water outlet will replacement and/or removing. A Type B deficiency and plan of correction has documented and issued today, see LIC809D. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809D page for the citation. Exit interview was conducted with the Director, Elizabeth Villarreal. SUPERVISORS NAME: Chandra Charles LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023 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: QUARRY LANE SCHOOL, THE FACILITY NUMBER: 013411303 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/26/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/26/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238(a) Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well beling of children, employees and visitors. 1 2 3 4 5 6 7LPA Observed the facility has shut down the noted water fountains, each is completely covered with a "do not use" sign posted. The children are using personal water bottles that are being refilled as needed from kitchen and/or staff kitchen. Lead posted results are posted on the parent board. 8 9 10 11 12 13 14This requirement was not met as evidenced by: Based on observation and documentation of the Lead Testing Result, the faucet that exceeds the 5PPB level. 8 9 10 11 12 13 14Director must submit proof of when the parents were notified to LPA via email. Director will inform LPA if the facility will replace or removed the water outlets. The documentation must be submitted by May 26, 2023 via email Lorraine.Dacanay-Breaux@dss.ca.gov , that the water outlets 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:Chandra Charles LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

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 April 26, 2023 at approximately 1:20PM License program Analyst (LPA) Lorraine Dacanay Breaux conducted a unannounced Case Management - Lead Testing/Exceedance Visit. LPA met with the Director Elizabeth Villarreal and explained the nature of the visit. LPA Toured the facility for Health and Safety. There were 88 children in care with 13 fingerprint cleared staff. On March 24, 2023, the sampling vendor pulled the water samples. The samples were drawn for 10 water locations in the facility. Lab results analyzed found that locations Rooms: 29, 26, 25, 24, 22, 19, 31, 34, 33 and drinking fountain near office showed lead levels values greater than 5.5 ppb is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction. Currently, children bring their own bottled water from home and if when needed, the water bottles are refilled from the kitchen faucet and/or staff kitchen. The facility does not prepare or cook food. The center has shut down all faucets for water consumption within the mentioned classrooms and labeled "Do Not Use". The facility will developed a Plan of Correction (POC) and email LPA. The facility's POC is currently set in place facility has immediately stopped using the water outlets. Also, the facility is working decided if water outlet will replacement and/or removing. A Type B deficiency and plan of correction has documented and issued today, see LIC809D. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809D page for the citation. Exit interview was conducted with the Director, Elizabeth Villarreal. SUPERVISORS NAME: Chandra Charles LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023 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: QUARRY LANE SCHOOL, THE FACILITY NUMBER: 013411303 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/26/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/26/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238(a) Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well beling of children, employees and visitors. 1 2 3 4 5 6 7LPA Observed the facility has shut down the noted water fountains, each is completely covered with a "do not use" sign posted. The children are using personal water bottles that are being refilled as needed from kitchen and/or staff kitchen. Lead posted results are posted on the parent board. 8 9 10 11 12 13 14This requirement was not met as evidenced by: Based on observation and documentation of the Lead Testing Result, the faucet that exceeds the 5PPB level. 8 9 10 11 12 13 14Director must submit proof of when the parents were notified to LPA via email. Director will inform LPA if the facility will replace or removed the water outlets. The documentation must be submitted by May 26, 2023 via email Lorraine.Dacanay-Breaux@dss.ca.gov , that the water outlets 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:Chandra Charles LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

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 April 26, 2023 at approximately 1:20PM License program Analyst (LPA) Lorraine Dacanay Breaux conducted a unannounced Case Management - Lead Testing/Exceedance Visit. LPA met with the Director Elizabeth Villarreal and explained the nature of the visit. LPA Toured the facility for Health and Safety. There were 88 children in care with 13 fingerprint cleared staff. On March 24, 2023, the sampling vendor pulled the water samples. The samples were drawn for 10 water locations in the facility. Lab results analyzed found that locations Rooms: 29, 26, 25, 24, 22, 19, 31, 34, 33 and drinking fountain near office showed lead levels values greater than 5.5 ppb is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction. Currently, children bring their own bottled water from home and if when needed, the water bottles are refilled from the kitchen faucet and/or staff kitchen. The facility does not prepare or cook food. The center has shut down all faucets for water consumption within the mentioned classrooms and labeled "Do Not Use". The facility will developed a Plan of Correction (POC) and email LPA. The facility's POC is currently set in place facility has immediately stopped using the water outlets. Also, the facility is working decided if water outlet will replacement and/or removing. A Type B deficiency and plan of correction has documented and issued today, see LIC809D. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809D page for the citation. Exit interview was conducted with the Director, Elizabeth Villarreal. SUPERVISORS NAME: Chandra Charles LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023 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: QUARRY LANE SCHOOL, THE FACILITY NUMBER: 013411303 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/26/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 05/26/2023 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238(a) Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well beling of children, employees and visitors. 1 2 3 4 5 6 7LPA Observed the facility has shut down the noted water fountains, each is completely covered with a "do not use" sign posted. The children are using personal water bottles that are being refilled as needed from kitchen and/or staff kitchen. Lead posted results are posted on the parent board. 8 9 10 11 12 13 14This requirement was not met as evidenced by: Based on observation and documentation of the Lead Testing Result, the faucet that exceeds the 5PPB level. 8 9 10 11 12 13 14Director must submit proof of when the parents were notified to LPA via email. Director will inform LPA if the facility will replace or removed the water outlets. The documentation must be submitted by May 26, 2023 via email Lorraine.Dacanay-Breaux@dss.ca.gov , that the water outlets 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:Chandra Charles LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

Type B citation - potential risk if not corrected