LEATAATA FLOYD PRESCHOOL

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 May 5th, 2025, at approximately 2:15 PM, Licensing Program Analysts (LPAs) Pa Dao Vang and Mandie Goodwin met with Director Raman Clar to conduct an unannounced case management inspection. During today's inspection there were 9 children supervised by 3 staff at nap and afternoon snack. The purpose of today's inspection was to create a plan of correction following reports of retesting lead exceedance in faucet D of the facility. On February 21, 2025, the facility re-tested their water samples for lead and renamed the faucet D to A. One water outlet sampled still indicated an Action Level Exceedance (ALE). This outlet is marked (A) on the lead sample results and indicates a sink located in room 1. Water tested at 6.880 parts per billion (ppb), which exceeds the value of 5.5ppb. All other previous outlets that had tested for lead have been cleared. Director will put signs stating that the outlets should not be used for drinking or food preparation. Director also stated that the faucet has not being used. Director have not received the leading testing results from the lab. LPA discussed about submitting the lead testing map and other required documents (LIC 9275 External Water Sampler Self-Certification Form and LIC 9276 Child Care Center Sampling Checklist Form) to LPA’s email. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with Facility Representative, Raman Clar. A copy of this report and appeal rights were provided. Notice of Site visit was provided and should remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca NAME OF LICENSING PROGRAM ANALYST: Dao Vang LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2025 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

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 May 5th, 2025, at approximately 2:15 PM, Licensing Program Analysts (LPAs) Pa Dao Vang and Mandie Goodwin met with Director Raman Clar to conduct an unannounced case management inspection. During today's inspection there were 9 children supervised by 3 staff at nap and afternoon snack. The purpose of today's inspection was to create a plan of correction following reports of retesting lead exceedance in faucet D of the facility. On February 21, 2025, the facility re-tested their water samples for lead and renamed the faucet D to A. One water outlet sampled still indicated an Action Level Exceedance (ALE). This outlet is marked (A) on the lead sample results and indicates a sink located in room 1. Water tested at 6.880 parts per billion (ppb), which exceeds the value of 5.5ppb. All other previous outlets that had tested for lead have been cleared. Director will put signs stating that the outlets should not be used for drinking or food preparation. Director also stated that the faucet has not being used. Director have not received the leading testing results from the lab. LPA discussed about submitting the lead testing map and other required documents (LIC 9275 External Water Sampler Self-Certification Form and LIC 9276 Child Care Center Sampling Checklist Form) to LPA’s email. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with Facility Representative, Raman Clar. A copy of this report and appeal rights were provided. Notice of Site visit was provided and should remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca NAME OF LICENSING PROGRAM ANALYST: Dao Vang LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2025 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

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 May 5th, 2025, at approximately 2:15 PM, Licensing Program Analysts (LPAs) Pa Dao Vang and Mandie Goodwin met with Director Raman Clar to conduct an unannounced case management inspection. During today's inspection there were 9 children supervised by 3 staff at nap and afternoon snack. The purpose of today's inspection was to create a plan of correction following reports of retesting lead exceedance in faucet D of the facility. On February 21, 2025, the facility re-tested their water samples for lead and renamed the faucet D to A. One water outlet sampled still indicated an Action Level Exceedance (ALE). This outlet is marked (A) on the lead sample results and indicates a sink located in room 1. Water tested at 6.880 parts per billion (ppb), which exceeds the value of 5.5ppb. All other previous outlets that had tested for lead have been cleared. Director will put signs stating that the outlets should not be used for drinking or food preparation. Director also stated that the faucet has not being used. Director have not received the leading testing results from the lab. LPA discussed about submitting the lead testing map and other required documents (LIC 9275 External Water Sampler Self-Certification Form and LIC 9276 Child Care Center Sampling Checklist Form) to LPA’s email. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with Facility Representative, Raman Clar. A copy of this report and appeal rights were provided. Notice of Site visit was provided and should remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca NAME OF LICENSING PROGRAM ANALYST: Dao Vang LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2025 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

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 May 5th, 2025, at approximately 2:15 PM, Licensing Program Analysts (LPAs) Pa Dao Vang and Mandie Goodwin met with Director Raman Clar to conduct an unannounced case management inspection. During today's inspection there were 9 children supervised by 3 staff at nap and afternoon snack. The purpose of today's inspection was to create a plan of correction following reports of retesting lead exceedance in faucet D of the facility. On February 21, 2025, the facility re-tested their water samples for lead and renamed the faucet D to A. One water outlet sampled still indicated an Action Level Exceedance (ALE). This outlet is marked (A) on the lead sample results and indicates a sink located in room 1. Water tested at 6.880 parts per billion (ppb), which exceeds the value of 5.5ppb. All other previous outlets that had tested for lead have been cleared. Director will put signs stating that the outlets should not be used for drinking or food preparation. Director also stated that the faucet has not being used. Director have not received the leading testing results from the lab. LPA discussed about submitting the lead testing map and other required documents (LIC 9275 External Water Sampler Self-Certification Form and LIC 9276 Child Care Center Sampling Checklist Form) to LPA’s email. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with Facility Representative, Raman Clar. A copy of this report and appeal rights were provided. Notice of Site visit was provided and should remain posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca NAME OF LICENSING PROGRAM ANALYST: Dao Vang LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2025 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