QUINCY HEAD START

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 6/07/2022 at 1:30pm, Licensing Program Analyst (LPA) Kirk Marks, made a case management inspection and met with Site Supervisor, Leasa Tolen. 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 (5.5 ppb) of lead in the water: Faucet “A” – office sink faucet, 12ppb Faucet “B” – children’s classroom sink faucet, 5.8ppb Faucet “C” – children's classroom sink drinking fountain, 23ppb Faucet "A" is inaccessible to children as it is in a separate room that is locked from the children entering. Faucet "B" is inaccessible to children drinking and is utilized only for washing of hands. The staff have made faucet "C" inaccessible by bagging it. Signs have also been placed over faucets "A" and "B" stating that the water is not to be used for consumption. The licensee plans to replace and retest the faucet. Children in care are receiving drinking water from bottled water. 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 was conducted and report was reviewed with the Site Supervisor, Leasa Tolen. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022 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: QUINCY HEAD START FACILITY NUMBER: 325407786 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 06/07/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The licensee agrees to submit an LIC 9275 and LIC 9276 by 6/07/22. One faucet is inaccessible to children as it is in locked room away from children. One faucet is only used for handwashing and sign is posted that the water is not for consumption. 8 9 10 11 12 13 14Based on record review, the facility had three faucets that exceeded the 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 14The third was made temporarily inaccessible by bagging the faucet. The licensee plans to replace and retest the faucet. Retesting documents will be submitted within 2 weeks of the completed sampling. 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:Megan Aviles LICENSING EVALUATOR NAME:Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022

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 6/07/2022 at 1:30pm, Licensing Program Analyst (LPA) Kirk Marks, made a case management inspection and met with Site Supervisor, Leasa Tolen. 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 (5.5 ppb) of lead in the water: Faucet “A” – office sink faucet, 12ppb Faucet “B” – children’s classroom sink faucet, 5.8ppb Faucet “C” – children's classroom sink drinking fountain, 23ppb Faucet "A" is inaccessible to children as it is in a separate room that is locked from the children entering. Faucet "B" is inaccessible to children drinking and is utilized only for washing of hands. The staff have made faucet "C" inaccessible by bagging it. Signs have also been placed over faucets "A" and "B" stating that the water is not to be used for consumption. The licensee plans to replace and retest the faucet. Children in care are receiving drinking water from bottled water. 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 was conducted and report was reviewed with the Site Supervisor, Leasa Tolen. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022 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: QUINCY HEAD START FACILITY NUMBER: 325407786 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 06/07/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The licensee agrees to submit an LIC 9275 and LIC 9276 by 6/07/22. One faucet is inaccessible to children as it is in locked room away from children. One faucet is only used for handwashing and sign is posted that the water is not for consumption. 8 9 10 11 12 13 14Based on record review, the facility had three faucets that exceeded the 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 14The third was made temporarily inaccessible by bagging the faucet. The licensee plans to replace and retest the faucet. Retesting documents will be submitted within 2 weeks of the completed sampling. 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:Megan Aviles LICENSING EVALUATOR NAME:Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022

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 6/07/2022 at 1:30pm, Licensing Program Analyst (LPA) Kirk Marks, made a case management inspection and met with Site Supervisor, Leasa Tolen. 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 (5.5 ppb) of lead in the water: Faucet “A” – office sink faucet, 12ppb Faucet “B” – children’s classroom sink faucet, 5.8ppb Faucet “C” – children's classroom sink drinking fountain, 23ppb Faucet "A" is inaccessible to children as it is in a separate room that is locked from the children entering. Faucet "B" is inaccessible to children drinking and is utilized only for washing of hands. The staff have made faucet "C" inaccessible by bagging it. Signs have also been placed over faucets "A" and "B" stating that the water is not to be used for consumption. The licensee plans to replace and retest the faucet. Children in care are receiving drinking water from bottled water. 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 was conducted and report was reviewed with the Site Supervisor, Leasa Tolen. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022 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: QUINCY HEAD START FACILITY NUMBER: 325407786 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 06/07/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The licensee agrees to submit an LIC 9275 and LIC 9276 by 6/07/22. One faucet is inaccessible to children as it is in locked room away from children. One faucet is only used for handwashing and sign is posted that the water is not for consumption. 8 9 10 11 12 13 14Based on record review, the facility had three faucets that exceeded the 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 14The third was made temporarily inaccessible by bagging the faucet. The licensee plans to replace and retest the faucet. Retesting documents will be submitted within 2 weeks of the completed sampling. 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:Megan Aviles LICENSING EVALUATOR NAME:Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022

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 6/07/2022 at 1:30pm, Licensing Program Analyst (LPA) Kirk Marks, made a case management inspection and met with Site Supervisor, Leasa Tolen. 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 (5.5 ppb) of lead in the water: Faucet “A” – office sink faucet, 12ppb Faucet “B” – children’s classroom sink faucet, 5.8ppb Faucet “C” – children's classroom sink drinking fountain, 23ppb Faucet "A" is inaccessible to children as it is in a separate room that is locked from the children entering. Faucet "B" is inaccessible to children drinking and is utilized only for washing of hands. The staff have made faucet "C" inaccessible by bagging it. Signs have also been placed over faucets "A" and "B" stating that the water is not to be used for consumption. The licensee plans to replace and retest the faucet. Children in care are receiving drinking water from bottled water. 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 was conducted and report was reviewed with the Site Supervisor, Leasa Tolen. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022 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: QUINCY HEAD START FACILITY NUMBER: 325407786 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 06/07/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The licensee agrees to submit an LIC 9275 and LIC 9276 by 6/07/22. One faucet is inaccessible to children as it is in locked room away from children. One faucet is only used for handwashing and sign is posted that the water is not for consumption. 8 9 10 11 12 13 14Based on record review, the facility had three faucets that exceeded the 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 14The third was made temporarily inaccessible by bagging the faucet. The licensee plans to replace and retest the faucet. Retesting documents will be submitted within 2 weeks of the completed sampling. 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:Megan Aviles LICENSING EVALUATOR NAME:Kirk Marks LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected