KIDANGO RUSSO

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25pLicensing Program Analyst (LPA),Stephanie Collins, conducted an unannounced case management inspection in response to a lead testing completed with exceedances levels. The positive lead finding was self reported to Community Care Licensing (CCL). LPA met with the Director Michelle Magana and explained the nature of today's inspection to her. Prior to today's inspection the facility self reported by submitting an unusual incident report, Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, labeled with locations of the water outlet, and full lead report. The lead exceedance readings were found in outside drinking fountain near the play area. Preceding the LPA’s arrival the affected and identified area of concern ( play- yard fountain ) had been blocked-off mark made an inoperable source of water. Staff and children are using a different source of water. The center provides drinking water from the indoor lead-free fountain and children are encouraged to bring the own bottles of water while outside. During today's inspection LPA Stephanie observed that the water sources were no longer operational. LPA observed the center posted notification to parent of the Assembly Bill 2370. Type B deficiency cited, exit interview conducted, and a copy of this report was reviewed with the Director Michelle Magana . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Stephanie Collins LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022 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: KIDANGO RUSSO FACILITY NUMBER: 434406753 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/18/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/18/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directive section 101700.3(b)(1), a result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not net as evidence by: The exceedances level found (play yard- fountain). This poses potential risk to the Health Safety, or Personal Rights of Children in care. 1 2 3 4 5 6 7Prior to today’s inspection the facility self reported by submitting an unusual indecent report. the area of concern (Play-yard area fountain) was closed off from the water source and was never used. 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 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:Gladys Kuizon LICENSING EVALUATOR NAME:Stephanie Collins LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022

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 25pLicensing Program Analyst (LPA),Stephanie Collins, conducted an unannounced case management inspection in response to a lead testing completed with exceedances levels. The positive lead finding was self reported to Community Care Licensing (CCL). LPA met with the Director Michelle Magana and explained the nature of today's inspection to her. Prior to today's inspection the facility self reported by submitting an unusual incident report, Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, labeled with locations of the water outlet, and full lead report. The lead exceedance readings were found in outside drinking fountain near the play area. Preceding the LPA’s arrival the affected and identified area of concern ( play- yard fountain ) had been blocked-off mark made an inoperable source of water. Staff and children are using a different source of water. The center provides drinking water from the indoor lead-free fountain and children are encouraged to bring the own bottles of water while outside. During today's inspection LPA Stephanie observed that the water sources were no longer operational. LPA observed the center posted notification to parent of the Assembly Bill 2370. Type B deficiency cited, exit interview conducted, and a copy of this report was reviewed with the Director Michelle Magana . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS. SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Stephanie Collins LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022 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: KIDANGO RUSSO FACILITY NUMBER: 434406753 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/18/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/18/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directive section 101700.3(b)(1), a result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not net as evidence by: The exceedances level found (play yard- fountain). This poses potential risk to the Health Safety, or Personal Rights of Children in care. 1 2 3 4 5 6 7Prior to today’s inspection the facility self reported by submitting an unusual indecent report. the area of concern (Play-yard area fountain) was closed off from the water source and was never used. 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 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:Gladys Kuizon LICENSING EVALUATOR NAME:Stephanie Collins LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022