STRATFORD SCHOOL

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 Analyst (LPA) Janette Cruz, conducted an unannounced case management inspection and met with Angela Manosca, Director. LPA explained the purpose of today’s inspection is to follow-up lead testing completed on 7/1/22 that indicated a drinking fountain found to have Action Level Exceedance (ALE) of 6.0 ppb. Census was taken, LPA observed 88 children with total of 11 staff supervising. LPA reviewed the water sample summary and requested Director to identify drinking fountain “A” located in Room 1 with reported ALE of 6 ppb. LPA notes that on 10/11/22, water retesting was completed for drinking fountain “A” by water sampler vendor, Adviro, and retesting results came back passing at 1 ppb meeting California requirements. LPA observed that drinking fountain A is now being used for drinking and food preparation. LPA obtained the following facility documents during todays inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), Facility Sketch (LIC999) labeled with locations of water outlets that were tested and water retesting summary conducted by Adviro on 10/11/22. As a result of this inspection, Type B deficiency was cited on the following page. Exit interview conducted and report was reviewed with Director, Angela Manosca. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. SUPERVISORS NAME: Diana Stephenson LICENSING EVALUATOR NAME: Janette Cruz LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022 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: STRATFORD SCHOOL FACILITY NUMBER: 434407977 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/28/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/28/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives - 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 7On 10/22/22, Director submitted a new water sample retest results to Licensing that is within the reporting limits, passed and met California requirements. Deficiency cleared. 8 9 10 11 12 13 14Based on record review, the Lead Sampling Report on 7/1/22 indicated that drinking fountain A in Room 1 had elevated lead above 5.5 ppb. This poses a potential risk to the health, safety, or personal rights of 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:Diana Stephenson LICENSING EVALUATOR NAME:Janette Cruz LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022

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 Analyst (LPA) Janette Cruz, conducted an unannounced case management inspection and met with Angela Manosca, Director. LPA explained the purpose of today’s inspection is to follow-up lead testing completed on 7/1/22 that indicated a drinking fountain found to have Action Level Exceedance (ALE) of 6.0 ppb. Census was taken, LPA observed 88 children with total of 11 staff supervising. LPA reviewed the water sample summary and requested Director to identify drinking fountain “A” located in Room 1 with reported ALE of 6 ppb. LPA notes that on 10/11/22, water retesting was completed for drinking fountain “A” by water sampler vendor, Adviro, and retesting results came back passing at 1 ppb meeting California requirements. LPA observed that drinking fountain A is now being used for drinking and food preparation. LPA obtained the following facility documents during todays inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), Facility Sketch (LIC999) labeled with locations of water outlets that were tested and water retesting summary conducted by Adviro on 10/11/22. As a result of this inspection, Type B deficiency was cited on the following page. Exit interview conducted and report was reviewed with Director, Angela Manosca. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. SUPERVISORS NAME: Diana Stephenson LICENSING EVALUATOR NAME: Janette Cruz LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022 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: STRATFORD SCHOOL FACILITY NUMBER: 434407977 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/28/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/28/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives - 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 7On 10/22/22, Director submitted a new water sample retest results to Licensing that is within the reporting limits, passed and met California requirements. Deficiency cleared. 8 9 10 11 12 13 14Based on record review, the Lead Sampling Report on 7/1/22 indicated that drinking fountain A in Room 1 had elevated lead above 5.5 ppb. This poses a potential risk to the health, safety, or personal rights of 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:Diana Stephenson LICENSING EVALUATOR NAME:Janette Cruz LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022

Type B citation - potential risk if not corrected