MONTESSORI SCHOOL OF THE BAY AREA, INC.

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 January 24, 2024 at approximately 11:05am, Licensing Program Analysts (LPAs) Ly and Nasiripour conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the Site Director, Vasi Thathiah. The purpose of the inspection was explained. Facility is a combination center that includes a preschool and the toddler component. Present during today's visit are 5 preschool and 7 toddlers with 4 staff members including the Director . LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Lead Test result for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5ppb was uploaded on the State Water Board on 12/19/2023. The facility's faucet labeled as A30 has the result of 36ppb. The facility was proactive by putting signs indicating that the water faucet is not for drinking and is currently out of order. On this day, facility submitted Lead Testing Results, Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999) to the department via email. * See next page for deficiency cited today. A copy of this report was discussed and left with Director whose signature on this form confirm receipt of these reports. Notice of Site Visit was posted. Notice to remain posted for 30 days. SUPERVISORS NAME: Garfield Leung LICENSING EVALUATOR NAME: Winnie Ly LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024 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 2 FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA, INC. FACILITY NUMBER: 380505730 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 02/26/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility has put up signs at affected faucet indicating that the water faucet is not for drinking and is currently out of order. 8 9 10 11 12 13 14Based on observation, interview and record review, the facility did not ensure to maintain a level to be under 5 ppb at water fountains in classrooms. This poses a potential health, safety or personal rights risk to persons in care. 8 9 10 11 12 13 14Facility must have running water for A30 Facucet until faucet is retested with a certified water sampler by 02/26/2024. Once retest is done, faciity representative will submit retest result to the department. 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:Garfield Leung LICENSING EVALUATOR NAME:Winnie Ly LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024

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 January 24, 2024 at approximately 11:05am, Licensing Program Analysts (LPAs) Ly and Nasiripour conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the Site Director, Vasi Thathiah. The purpose of the inspection was explained. Facility is a combination center that includes a preschool and the toddler component. Present during today's visit are 5 preschool and 7 toddlers with 4 staff members including the Director . LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Lead Test result for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5ppb was uploaded on the State Water Board on 12/19/2023. The facility's faucet labeled as A30 has the result of 36ppb. The facility was proactive by putting signs indicating that the water faucet is not for drinking and is currently out of order. On this day, facility submitted Lead Testing Results, Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999) to the department via email. * See next page for deficiency cited today. A copy of this report was discussed and left with Director whose signature on this form confirm receipt of these reports. Notice of Site Visit was posted. Notice to remain posted for 30 days. SUPERVISORS NAME: Garfield Leung LICENSING EVALUATOR NAME: Winnie Ly LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024 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 2 FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA, INC. FACILITY NUMBER: 380505730 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 02/26/2024 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility has put up signs at affected faucet indicating that the water faucet is not for drinking and is currently out of order. 8 9 10 11 12 13 14Based on observation, interview and record review, the facility did not ensure to maintain a level to be under 5 ppb at water fountains in classrooms. This poses a potential health, safety or personal rights risk to persons in care. 8 9 10 11 12 13 14Facility must have running water for A30 Facucet until faucet is retested with a certified water sampler by 02/26/2024. Once retest is done, faciity representative will submit retest result to the department. 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:Garfield Leung LICENSING EVALUATOR NAME:Winnie Ly LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024