VISTA DEL VALLE ELEMENTARY SCHOOL-CSPP

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) Lilia Hernandez conducted an unannounced case management inspection on 12/12/2024 for the purpose of addressing an Action Lead Exceedance (ALE) at the facility. LPA arrived to the facility at 11:30AM and met with Katherine Bates, Principal. LPA was notified that care is being provided in Room 127 and Martiza Rodriguez, Head Teacher, will be able to conducted the inspection with LPA. Upon arriving to Room 127, LPA observed 12 children and 1 staff present. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 10/25/2022. The sample testing was for Outlet "A" with results above 5.5 ppb which is considered an exceedance. Outlet "A" was reported to have an exceedance of 12.8ppb. LPA was not able to verify which outlets were tested because a facility sketch was not provided to the Department prior or during the inspection. During the inspection, LPA was notified that a point of use filter was installed for children to have drinking water indoors. LPA took a photo of the point of use filter that has a date of 11/07/2022. LPA was not able to verify if the indoor drinking outlet was Outlet "A" as reported to the Department. LPA advised Principal that the following documents pending are as followed: Completed External Water Sampler Self-Certification Form (LIC 9275) Completed Child Care Center Sampling Checklist Form (LIC 9276) Facility Sketch identifying the location of water outlet/s used for drinking A copy of the initial water testing results for outlets tested Proof of corrections for Outlet "A" A copy of water retesting results summary for Outlets "A" ---Page 1 of 2 SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Lilia Hernandez LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024 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: VISTA DEL VALLE ELEMENTARY SCHOOL-CSPPFACILITY NUMBER: 197417362 VISIT DATE: 12/12/2024 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 32Principal was advised to posted lead testing results, in a location consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility will notify all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water outlet “A”. Based on interviews and results reported to the Department, it has been determined that VISTA DEL VALLE ELEMENTARY SCHOOL-CSPP violated Child Care Licensing Regulation Division 12, Chapter 1, Subchapter 5, 101700.3 (b)(1) California Lead Action Level at Child Care Centers. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. Refer to LIC 809-D for deficiency page. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Katherine Bates, Principal. ---Page 2 of 2 SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Lilia Hernandez LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024 FACILITY NAME: VISTA DEL VALLE ELEMENTARY SCHOOL-CSPP FACILITY NUMBER: 197417362 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/12/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/17/2025 Section Cited CCR 100700.3(b)(1) 1 2 3 4 5 6 7(b) Testing results with fractional ppb readings of 0.5 ppb or greater...(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by:1 2 3 4 5 6 7Per Principal, the following documents will be submitted to LPA via email by POC due date: Completed External Water Sampler Self-Certification Form (LIC 9275), Completed Child Care Center Sampling Checklist Form (LIC 9276),Facility Sketch identifying the location of water outlet/s used for drink

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) Lilia Hernandez conducted an unannounced case management inspection on 12/12/2024 for the purpose of addressing an Action Lead Exceedance (ALE) at the facility. LPA arrived to the facility at 11:30AM and met with Katherine Bates, Principal. LPA was notified that care is being provided in Room 127 and Martiza Rodriguez, Head Teacher, will be able to conducted the inspection with LPA. Upon arriving to Room 127, LPA observed 12 children and 1 staff present. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 10/25/2022. The sample testing was for Outlet "A" with results above 5.5 ppb which is considered an exceedance. Outlet "A" was reported to have an exceedance of 12.8ppb. LPA was not able to verify which outlets were tested because a facility sketch was not provided to the Department prior or during the inspection. During the inspection, LPA was notified that a point of use filter was installed for children to have drinking water indoors. LPA took a photo of the point of use filter that has a date of 11/07/2022. LPA was not able to verify if the indoor drinking outlet was Outlet "A" as reported to the Department. LPA advised Principal that the following documents pending are as followed: Completed External Water Sampler Self-Certification Form (LIC 9275) Completed Child Care Center Sampling Checklist Form (LIC 9276) Facility Sketch identifying the location of water outlet/s used for drinking A copy of the initial water testing results for outlets tested Proof of corrections for Outlet "A" A copy of water retesting results summary for Outlets "A" ---Page 1 of 2 SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Lilia Hernandez LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024 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: VISTA DEL VALLE ELEMENTARY SCHOOL-CSPPFACILITY NUMBER: 197417362 VISIT DATE: 12/12/2024 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 32Principal was advised to posted lead testing results, in a location consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility will notify all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water outlet “A”. Based on interviews and results reported to the Department, it has been determined that VISTA DEL VALLE ELEMENTARY SCHOOL-CSPP violated Child Care Licensing Regulation Division 12, Chapter 1, Subchapter 5, 101700.3 (b)(1) California Lead Action Level at Child Care Centers. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. Refer to LIC 809-D for deficiency page. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Katherine Bates, Principal. ---Page 2 of 2 SUPERVISORS NAME: Rita Ramos LICENSING EVALUATOR NAME: Lilia Hernandez LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024 FACILITY NAME: VISTA DEL VALLE ELEMENTARY SCHOOL-CSPP FACILITY NUMBER: 197417362 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/12/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 01/17/2025 Section Cited CCR 100700.3(b)(1) 1 2 3 4 5 6 7(b) Testing results with fractional ppb readings of 0.5 ppb or greater...(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by:1 2 3 4 5 6 7Per Principal, the following documents will be submitted to LPA via email by POC due date: Completed External Water Sampler Self-Certification Form (LIC 9275), Completed Child Care Center Sampling Checklist Form (LIC 9276),Facility Sketch identifying the location of water outlet/s used for drink

Type B citation - potential risk if not corrected