CHALLENGER SCHOOL-HARWOOD

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 Analysts (LPAs) Mel Matos and Ashley Lopez conducted an unannounced case management inspection to discuss the lead water testing and Action Level Exceedance (ALE) for three water outlets within the Facility. LPAs met with Kari Trumpp, director, and explained purpose of today's inspection to her. The lead testing was completed by Healthy Building Science on December 17, 2022. An Action Exceedance Level is a value of 5.5 parts per billion or greater. Three water outlets (drinking fountains) - Fixture B (Room J1) reported an ALE of 13 parts per billion, Fixture C (Room J1) reported an ALE of 8.2 parts per billion, and Fixture K (staff computer room) reported an ALE of 10 parts per billion. Kari states that the three drinking fountains were removed from service and drinking water was being provided only from drinking fountains that tested below the ALE value of 5.5 parts per billion. Kari states that the three drinking fountains were replaced on January 13, 2023 and were retested by Healthy Building Science on February 4, 2023. All three water outlets tested below 5.5 parts per billion. A copy of the testing results was provided to LPAs during today's inspection verifying the test results from February 4, 2023. Kari agreed to submit the Self-Certification form (LIC 9275), Sampling Checklist form (LIC 9276) and updated Facility Sketch (LIC 999) to LPA Lopez by Friday March 31, 2023. Exit interview conducted and report was reviewed with the Director, Kari Trumpp. The following Type B deficiency is cited on the attached page (LIC 809-D). Copy of appeal rights was provided to Kari prior to the conclusion of today's inspection. Notice of site visit was issued and must remain posted for 30 days. SUPERVISORS NAME: Diana Stephenson LICENSING EVALUATOR NAME: Melvin S Matos LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023 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: CHALLENGER SCHOOL-HARWOOD FACILITY NUMBER: 434408059 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/23/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/23/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives (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 7Director states that the three water fountains were removed from service and drinking water was provided only from drinking fountains that have tested below the ALE value of 5.5 parts per billion. 8 9 10 11 12 13 14Fixture B (Drinking fountain - Room J1) reported an ALE of 13 parts per billion, Fixture C (Drinking fountain - Room J1) reported an ALE of 8.2 parts per billion, and Fixture K (Drinking fountain - staff computer room) reported an ALE of 10 parts per billion. This poses a potential risk to the health, safety, and personal rights of children in care. 8 9 10 11 12 13 14Director states that the three water fountains have been replaced and were retested on 02/04/23. Test results were below 5.5 ppb. Copy of test results was provided to LPAs. Deficiency is thus cleared as of today's inspection. 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:Diana Stephenson LICENSING EVALUATOR NAME:Melvin S Matos LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023

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 Analysts (LPAs) Mel Matos and Ashley Lopez conducted an unannounced case management inspection to discuss the lead water testing and Action Level Exceedance (ALE) for three water outlets within the Facility. LPAs met with Kari Trumpp, director, and explained purpose of today's inspection to her. The lead testing was completed by Healthy Building Science on December 17, 2022. An Action Exceedance Level is a value of 5.5 parts per billion or greater. Three water outlets (drinking fountains) - Fixture B (Room J1) reported an ALE of 13 parts per billion, Fixture C (Room J1) reported an ALE of 8.2 parts per billion, and Fixture K (staff computer room) reported an ALE of 10 parts per billion. Kari states that the three drinking fountains were removed from service and drinking water was being provided only from drinking fountains that tested below the ALE value of 5.5 parts per billion. Kari states that the three drinking fountains were replaced on January 13, 2023 and were retested by Healthy Building Science on February 4, 2023. All three water outlets tested below 5.5 parts per billion. A copy of the testing results was provided to LPAs during today's inspection verifying the test results from February 4, 2023. Kari agreed to submit the Self-Certification form (LIC 9275), Sampling Checklist form (LIC 9276) and updated Facility Sketch (LIC 999) to LPA Lopez by Friday March 31, 2023. Exit interview conducted and report was reviewed with the Director, Kari Trumpp. The following Type B deficiency is cited on the attached page (LIC 809-D). Copy of appeal rights was provided to Kari prior to the conclusion of today's inspection. Notice of site visit was issued and must remain posted for 30 days. SUPERVISORS NAME: Diana Stephenson LICENSING EVALUATOR NAME: Melvin S Matos LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023 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: CHALLENGER SCHOOL-HARWOOD FACILITY NUMBER: 434408059 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/23/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 03/23/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives (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 7Director states that the three water fountains were removed from service and drinking water was provided only from drinking fountains that have tested below the ALE value of 5.5 parts per billion. 8 9 10 11 12 13 14Fixture B (Drinking fountain - Room J1) reported an ALE of 13 parts per billion, Fixture C (Drinking fountain - Room J1) reported an ALE of 8.2 parts per billion, and Fixture K (Drinking fountain - staff computer room) reported an ALE of 10 parts per billion. This poses a potential risk to the health, safety, and personal rights of children in care. 8 9 10 11 12 13 14Director states that the three water fountains have been replaced and were retested on 02/04/23. Test results were below 5.5 ppb. Copy of test results was provided to LPAs. Deficiency is thus cleared as of today's inspection. 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:Diana Stephenson LICENSING EVALUATOR NAME:Melvin S Matos LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023