HARTNELL COLLEGE CHILD DEVELOPMENT CENTER

Type B citation from complaint investigation - 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), Joe Macias, conducted an unannounced case management inspection in response to a lead testing completed with an exceedance level. LPA met with the Director Anne Adamson, and explained the nature of today's inspection to her. During today's inspection LPA Macias requested and obtained the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report. The lead exceedance readings were found in the classroom drinking fountain, as well as the outdoor drinking fountain. Preceding the arrival of LPA Macias the water fountains were disconnected from the water source and no longer used. The water fountains in question have not been utilized for well over two years, this was done as a precaution due to COVID-19. The center provides filtered drinking water for the children. During today's inspection LPA Macias observed that the water source is no longer operational. The water fountains will be removed entirely. Type B deficiency cited, exit interview conducted, and a copy of this report was reviewed with the Director Anne Adamson. Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Joseph Macias LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023 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: HARTNELL COLLEGE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 274400175 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/02/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/03/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives section 101700.3 (b)(1), a result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by: 1 2 3 4 5 6 7During today's inspection LPA Macias requested and obtained the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report. 8 9 10 11 12 13 14This exceedance level found in the main entrance drinking fountain was 34.5.This poses a potential risk to the Health, Safety, or Personal Rights of children in care.8 9 10 11 12 13 14The water fountains were disconnected from the water source and no longer used. The center provides filtered drinking water for the children. 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:Gladys Kuizon LICENSING EVALUATOR NAME:Joseph Macias LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023

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), Joe Macias, conducted an unannounced case management inspection in response to a lead testing completed with an exceedance level. LPA met with the Director Anne Adamson, and explained the nature of today's inspection to her. During today's inspection LPA Macias requested and obtained the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report. The lead exceedance readings were found in the classroom drinking fountain, as well as the outdoor drinking fountain. Preceding the arrival of LPA Macias the water fountains were disconnected from the water source and no longer used. The water fountains in question have not been utilized for well over two years, this was done as a precaution due to COVID-19. The center provides filtered drinking water for the children. During today's inspection LPA Macias observed that the water source is no longer operational. The water fountains will be removed entirely. Type B deficiency cited, exit interview conducted, and a copy of this report was reviewed with the Director Anne Adamson. Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Joseph Macias LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023 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: HARTNELL COLLEGE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 274400175 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/02/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/03/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives section 101700.3 (b)(1), a result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by: 1 2 3 4 5 6 7During today's inspection LPA Macias requested and obtained the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report. 8 9 10 11 12 13 14This exceedance level found in the main entrance drinking fountain was 34.5.This poses a potential risk to the Health, Safety, or Personal Rights of children in care.8 9 10 11 12 13 14The water fountains were disconnected from the water source and no longer used. The center provides filtered drinking water for the children. 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:Gladys Kuizon LICENSING EVALUATOR NAME:Joseph Macias LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023