OPTIONS-STATE PRESCHOOL-JELLICK

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 Analysts (LPA) Jennifer Hua conducted an unannounced case management inspection on 9/5/2023. A COVID 19 risk assessment was conducted. LPA arrived at the facility at 12:55pm and met with lead teacher Adriana Lopez. The purpose of the visit was announced. LPA observed 5 children in care with 2 staff. Per lead teacher, there are 2 sessions for the program: AM session is State Preschool and PM session is the Headstart. The purpose of today's inspection is to go over the water lead test results received on 08/12/2023. Results indicate that "B” water source had action level exceedance of lead. The "B" water source located in the preschool room had a lead result of 9. Per lead teacher, water fountain was capped and locked when it was tested high. The water fountain was retested on 9/1/2023 and had no deterrence. LPA observed that the water fountain is now being used. Lead teacher stated that the water fountain was flushed. Per lead teacher, ceased using the water fountain as soon as results were received and the fountain was capped and locked making it inaccessible for children and staff, but previous to that date, children had access. Children were able to access water from water pitcher or the other water fountain. LPA advised lead teacher to review PIN 21-21.1-CCP (Written Directives for Lead Testing of Water). A deficiency was cited on attached 809D. The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety. An exit interview conducted with lead teacher. Notice of Site Visit form was provided and must be posted for 30 days in an area accessible for review. SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Jennifer Hua LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023 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: OPTIONS-STATE PRESCHOOL-JELLICK FACILITY NUMBER: 191500936 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/05/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/05/2023 Section Cited CCR 101700.3(c) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers. On 8/12/23, licensee failed to maintain a lead value at or below the Action Level for water lead testing of 5.5 ppb or greater for outlet "B". Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:1 2 3 4 5 6 7Per lead teacher, water fountain was retested on 9/1/23 with no deterrence. Children and staff now have access to the water fountain. Licensee shall submit copy of LIC 9275, LIC 9276, facility sketch and test results to LPA 8 9 10 11 12 13 14Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink. This poses an immediate Health and Safety risk to 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:Ana Chico LICENSING EVALUATOR NAME:Jennifer Hua LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analysts (LPA) Jennifer Hua conducted an unannounced case management inspection on 9/5/2023. A COVID 19 risk assessment was conducted. LPA arrived at the facility at 12:55pm and met with lead teacher Adriana Lopez. The purpose of the visit was announced. LPA observed 5 children in care with 2 staff. Per lead teacher, there are 2 sessions for the program: AM session is State Preschool and PM session is the Headstart. The purpose of today's inspection is to go over the water lead test results received on 08/12/2023. Results indicate that "B” water source had action level exceedance of lead. The "B" water source located in the preschool room had a lead result of 9. Per lead teacher, water fountain was capped and locked when it was tested high. The water fountain was retested on 9/1/2023 and had no deterrence. LPA observed that the water fountain is now being used. Lead teacher stated that the water fountain was flushed. Per lead teacher, ceased using the water fountain as soon as results were received and the fountain was capped and locked making it inaccessible for children and staff, but previous to that date, children had access. Children were able to access water from water pitcher or the other water fountain. LPA advised lead teacher to review PIN 21-21.1-CCP (Written Directives for Lead Testing of Water). A deficiency was cited on attached 809D. The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety. An exit interview conducted with lead teacher. Notice of Site Visit form was provided and must be posted for 30 days in an area accessible for review. SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Jennifer Hua LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023 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: OPTIONS-STATE PRESCHOOL-JELLICK FACILITY NUMBER: 191500936 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/05/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/05/2023 Section Cited CCR 101700.3(c) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers. On 8/12/23, licensee failed to maintain a lead value at or below the Action Level for water lead testing of 5.5 ppb or greater for outlet "B". Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:1 2 3 4 5 6 7Per lead teacher, water fountain was retested on 9/1/23 with no deterrence. Children and staff now have access to the water fountain. Licensee shall submit copy of LIC 9275, LIC 9276, facility sketch and test results to LPA 8 9 10 11 12 13 14Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink. This poses an immediate Health and Safety risk to 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:Ana Chico LICENSING EVALUATOR NAME:Jennifer Hua LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2023

Type B citation - potential risk if not corrected