POTRERO KIDS THIRD

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 August 26, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced case management inspection and met with the Director Yarena Ozuna. The inspection aimed to discuss the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the Lead Testing of water in the Child Care Center. All Child Care Centers located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every five years after the first testing date. Present today were Director, Site Supervisor, 15 teachers, and 52 children in care. Based on review of California water board website, facility had not conducted test and received passing scores. During visit LPA observed that results had not been posted for public display. Today a type B deficiency is being cited due to the facility not having results by or before 1/1/2023. LPA referred facility representative to the Department website for lead: Toxicity Prevention and Water Testing Information. Director was asked to keep the department updated with test results, submit/post supporting documents such as External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), and Facility Sketch (LIC999). Today's report, appeal rights, and notice of the site were provided to the Director. LPA informed the Director that the site visit notice must be posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Sheran Lo LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024 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: POTRERO KIDS THIRD FACILITY NUMBER: 384002301 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/26/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/26/2024 Section Cited CCR 1597.16(a)(1) 1 2 3 4 5 6 71597.16(a)(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by: 1 2 3 4 5 6 7The lead water results must be uploaded onto the water sampling portal by the laboratory, and supporting documents, such as LIC 999, LIC 9275, and LIC 9276, must be submitted to the department by the above-due date. 8 9 10 11 12 13 14Based on the interview with the director, the licensee did not comply with the section cited above, which poses a potential risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14The deficiency cited today will be cleared once the results are uploaded onto the water sampling portal by the laboratory. 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:Daniel J Oquendo LICENSING EVALUATOR NAME:Sheran Lo LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024

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 August 26, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced case management inspection and met with the Director Yarena Ozuna. The inspection aimed to discuss the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the Lead Testing of water in the Child Care Center. All Child Care Centers located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every five years after the first testing date. Present today were Director, Site Supervisor, 15 teachers, and 52 children in care. Based on review of California water board website, facility had not conducted test and received passing scores. During visit LPA observed that results had not been posted for public display. Today a type B deficiency is being cited due to the facility not having results by or before 1/1/2023. LPA referred facility representative to the Department website for lead: Toxicity Prevention and Water Testing Information. Director was asked to keep the department updated with test results, submit/post supporting documents such as External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), and Facility Sketch (LIC999). Today's report, appeal rights, and notice of the site were provided to the Director. LPA informed the Director that the site visit notice must be posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Sheran Lo LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024 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: POTRERO KIDS THIRD FACILITY NUMBER: 384002301 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/26/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/26/2024 Section Cited CCR 1597.16(a)(1) 1 2 3 4 5 6 71597.16(a)(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by: 1 2 3 4 5 6 7The lead water results must be uploaded onto the water sampling portal by the laboratory, and supporting documents, such as LIC 999, LIC 9275, and LIC 9276, must be submitted to the department by the above-due date. 8 9 10 11 12 13 14Based on the interview with the director, the licensee did not comply with the section cited above, which poses a potential risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14The deficiency cited today will be cleared once the results are uploaded onto the water sampling portal by the laboratory. 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:Daniel J Oquendo LICENSING EVALUATOR NAME:Sheran Lo LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024

Type B citation - potential risk if not corrected