LRCCD SCC CHILD DEVELOPMENT CENTER

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 Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:40am and met with Director Sadat Zarek to conduct an unannounced case management inspection. During today's inspection there were three preschool children being supervised by three teachers. The purpose of today's inspection was to create a plan of correction following reports of lead exceedance in five of the facility outlets. On 2/24/2023 the facility tested water samples for lead. Three water outlets sampled indicated an Action Level Exceedance (ALE). On 5/12/2023 the facility was notified that water levels were in exceedance of 5 parts per billion in the locations that were tested. Signs have been placed on each outlet in exceedance stating that the outlets should not be used for drinking or food preparation. Director stated that the faucets are currently being changed to correct the issue. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with the Director, Sadat Zarek. A copy of this report and appeal rights were provided to the Director. SUPERVISORS NAME: Amanda Blesi LICENSING EVALUATOR NAME: Christopher Bello LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023 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: LRCCD SCC CHILD DEVELOPMENT CENTER FACILITY NUMBER: 343624134 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/07/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 ...Lead Action Level... (b) ...(1) If testing indicates an Action Level Exceedance at any water outlet, the water... is deemed not safe to drink and an immediate response... shall be required. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility has since stopped using the water that was designated exceeding lead levels. The facility has a work order to correct the faucets that will be sent to the LPA. 8 9 10 11 12 13 14Based on record review the facility did not comply with the above regulation as the lead action level was exceeded in three water outlets, which poses Health, Safety, or Personal Rights 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:Amanda Blesi LICENSING EVALUATOR NAME:Christopher Bello LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023

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 25Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:40am and met with Director Sadat Zarek to conduct an unannounced case management inspection. During today's inspection there were three preschool children being supervised by three teachers. The purpose of today's inspection was to create a plan of correction following reports of lead exceedance in five of the facility outlets. On 2/24/2023 the facility tested water samples for lead. Three water outlets sampled indicated an Action Level Exceedance (ALE). On 5/12/2023 the facility was notified that water levels were in exceedance of 5 parts per billion in the locations that were tested. Signs have been placed on each outlet in exceedance stating that the outlets should not be used for drinking or food preparation. Director stated that the faucets are currently being changed to correct the issue. A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with the Director, Sadat Zarek. A copy of this report and appeal rights were provided to the Director. SUPERVISORS NAME: Amanda Blesi LICENSING EVALUATOR NAME: Christopher Bello LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023 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: LRCCD SCC CHILD DEVELOPMENT CENTER FACILITY NUMBER: 343624134 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 06/07/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/07/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 ...Lead Action Level... (b) ...(1) If testing indicates an Action Level Exceedance at any water outlet, the water... is deemed not safe to drink and an immediate response... shall be required. This requirement was not met as evidenced by:1 2 3 4 5 6 7Facility has since stopped using the water that was designated exceeding lead levels. The facility has a work order to correct the faucets that will be sent to the LPA. 8 9 10 11 12 13 14Based on record review the facility did not comply with the above regulation as the lead action level was exceeded in three water outlets, which poses Health, Safety, or Personal Rights 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:Amanda Blesi LICENSING EVALUATOR NAME:Christopher Bello LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023