OPTIONS SURROUND CARE-ROOSEVELT

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 04/12/2024, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced Case Management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. A COVID 19 risk assessment was conducted prior to entering the facility. LPA met with Elizabeth Adrade, Site Director and explained the purpose of the visit. Present in the facility is 1 Staff and 0 Children. Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with SIte Director during the inspection. Per AB 2370, all CCCs that are 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. Facility sketch and required forms LIC 9275, LIC9276 and LIC999 was received by the Department on 04/03/2024. The State Water Resources Control Board (SWRCB) report indicated the facility was inspected and samples were collected on 08/24/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows: · Drinking Fountain- A (14 UG/L) – LPA observed drinking fountain was removed and capped - picture was taken. page 1 of 2 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024 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: OPTIONS SURROUND CARE-ROOSEVELTFACILITY NUMBER: 198003297 VISIT DATE: 04/12/2024 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 32Staff stated that the Drinking Fountain A has not been in use. Facility uses tap water from the bathroom and place in a water jug. Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information See LIC809D for Type B deficiency cited. A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and this report and appeal rights provided to Elizabeth Adrade, Site Director. page 2 of 2 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024 FACILITY NAME: OPTIONS SURROUND CARE-ROOSEVELT FACILITY NUMBER: 198003297 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/12/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/19/2024 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall be rounded before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. 1 2 3 4 5 6 7During the inspection, LPA observed the drinking fountain was removed and capped. Deficiency was cleared during this visit. 8 9 10 11 12 13 14This requirement is not met as evidenced by Based on inspection, the licensee did not comply with the directive above, as the Drinking Fountain A tested with an Action Level Exceedance (ALE) of 14 UG/L. This poses a potential health and safety risk to children 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:Ana Chico LICENSING EVALUATOR NAME:Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024

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 04/12/2024, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced Case Management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. A COVID 19 risk assessment was conducted prior to entering the facility. LPA met with Elizabeth Adrade, Site Director and explained the purpose of the visit. Present in the facility is 1 Staff and 0 Children. Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with SIte Director during the inspection. Per AB 2370, all CCCs that are 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. Facility sketch and required forms LIC 9275, LIC9276 and LIC999 was received by the Department on 04/03/2024. The State Water Resources Control Board (SWRCB) report indicated the facility was inspected and samples were collected on 08/24/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows: · Drinking Fountain- A (14 UG/L) – LPA observed drinking fountain was removed and capped - picture was taken. page 1 of 2 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024 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: OPTIONS SURROUND CARE-ROOSEVELTFACILITY NUMBER: 198003297 VISIT DATE: 04/12/2024 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 32Staff stated that the Drinking Fountain A has not been in use. Facility uses tap water from the bathroom and place in a water jug. Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information See LIC809D for Type B deficiency cited. A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and this report and appeal rights provided to Elizabeth Adrade, Site Director. page 2 of 2 SUPERVISORS NAME: Ana Chico LICENSING EVALUATOR NAME: Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024 FACILITY NAME: OPTIONS SURROUND CARE-ROOSEVELT FACILITY NUMBER: 198003297 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/12/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/19/2024 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall be rounded before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. 1 2 3 4 5 6 7During the inspection, LPA observed the drinking fountain was removed and capped. Deficiency was cleared during this visit. 8 9 10 11 12 13 14This requirement is not met as evidenced by Based on inspection, the licensee did not comply with the directive above, as the Drinking Fountain A tested with an Action Level Exceedance (ALE) of 14 UG/L. This poses a potential health and safety risk to children 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:Ana Chico LICENSING EVALUATOR NAME:Kruz Long LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024