PSD/RIALTO WILLOW 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 25Due to required lead testing requirements, Licensing Program Analyst (LPA) Laura Mejorado conducted a Case Management inspection based on lead testing results received on the facility. LPA toured the facility, took census and met with Director Norma Ramirez to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet C (19 ppb) and Outlet D (15 ppb) which are located across from classroom 91 near the front entrance. Facility's outlets C and D were water fountains. LPA observed outlets C and D were removed and a portable water dispenser was ordered. In the meantime, a portable water dispenser is available for use in classroom 90. Photos obtained of additional source of water. LPA observed notification of lead results posted at the facility entry- front doors. Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D. Continue on LIC809C. SUPERVISORS NAME: Kimberly Williams LICENSING EVALUATOR NAME: Laura Mejorado LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023 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: PSD/RIALTO WILLOW HEAD STARTFACILITY NUMBER: 364830575 VISIT DATE: 03/30/2023 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 32Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Director Norma Ramirez with a copy of this report, appeal rights and notice of site visit. This report must be made available to the public upon request for three years. SUPERVISORS NAME: Kimberly Williams LICENSING EVALUATOR NAME: Laura Mejorado LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023 FACILITY NAME: PSD/RIALTO WILLOW HEAD START FACILITY NUMBER: 364830575 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/30/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/30/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers CCR 101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by:1 2 3 4 5 6 7During todays inspection LPA observed outlets C and D were removed and a portable water dispenser was ordered. In the meantime, a portable water dispenser is available for use in classroom 90. 8 9 10 11 12 13 14Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlets: Outlet C (19 ppb) and Outlet D (15 ppb). This is a potential health and safety risk to persons 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:Kimberly Williams LICENSING EVALUATOR NAME:Lau

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Due to required lead testing requirements, Licensing Program Analyst (LPA) Laura Mejorado conducted a Case Management inspection based on lead testing results received on the facility. LPA toured the facility, took census and met with Director Norma Ramirez to further discuss lead results received and measures taken for remediation of lead exceedances. During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet C (19 ppb) and Outlet D (15 ppb) which are located across from classroom 91 near the front entrance. Facility's outlets C and D were water fountains. LPA observed outlets C and D were removed and a portable water dispenser was ordered. In the meantime, a portable water dispenser is available for use in classroom 90. Photos obtained of additional source of water. LPA observed notification of lead results posted at the facility entry- front doors. Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D. Continue on LIC809C. SUPERVISORS NAME: Kimberly Williams LICENSING EVALUATOR NAME: Laura Mejorado LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023 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: PSD/RIALTO WILLOW HEAD STARTFACILITY NUMBER: 364830575 VISIT DATE: 03/30/2023 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 32Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022: 101700.6 Grant Funding for Qualifying Child care Centers (a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria: (1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age. (2) Those that have 50 percent or more of their registered children who receive subsidized care. (3) Those that operate only one facility. (b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website. (1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website An exit interview was conducted, and appeal rights discussed. LPA provided Director Norma Ramirez with a copy of this report, appeal rights and notice of site visit. This report must be made available to the public upon request for three years. SUPERVISORS NAME: Kimberly Williams LICENSING EVALUATOR NAME: Laura Mejorado LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023 FACILITY NAME: PSD/RIALTO WILLOW HEAD START FACILITY NUMBER: 364830575 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/30/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/30/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers CCR 101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by:1 2 3 4 5 6 7During todays inspection LPA observed outlets C and D were removed and a portable water dispenser was ordered. In the meantime, a portable water dispenser is available for use in classroom 90. 8 9 10 11 12 13 14Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlets: Outlet C (19 ppb) and Outlet D (15 ppb). This is a potential health and safety risk to persons 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:Kimberly Williams LICENSING EVALUATOR NAME:Lau

Type B citation - potential risk if not corrected