OLD FIREHOUSE 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 25On October 19, 2023, Licensing Program Analysts (LPAs) Garcia and Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with director, Chelsea Bryson. LPAs explained the purpose of the visit and was given a tour of the facility. Present in facility are 13 children, with 5 staff members, including the director. LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located 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. The facility received the ALE report from the Vendor on September 30, 2022. The facility also has an infant program (#214005608) under the same address and were both tested for lead contamination in their water. The areas where the infant rooms are, had no ALE for lead. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture C (6.5) is a sink located in a preschool classroom. According to the director, the faucet has been replaced and retested prior to March 14, 2023. LPAs observed that there was a new fixture where the affected fixture used to be and based on the retest results show 2.8 ppb. The facility is also using other sources of water, sinks that passed the tests, for food preparation and water ingestion or refill. LPA obtained hard copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), during the visit. * See next page for deficiencies cited today and will also be cleared on the same day. This report was reviewed and signed by Director, Chelsea Bryson. This notice of Site visit was provided to the Director and must remain posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023 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: OLD FIREHOUSE SCHOOL FACILITY NUMBER: 214005607 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/20/2023 Section Cited 101700.3 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility replaced the fixture and retested the new fixture, which tested below the threshold for an ALE. Director notified LPA of test results for new fixture on 3/14/23. 8 9 10 11 12 13 14Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This posed a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14Deficiency will be issued and cleared on the same day of visit. 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:Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On October 19, 2023, Licensing Program Analysts (LPAs) Garcia and Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with director, Chelsea Bryson. LPAs explained the purpose of the visit and was given a tour of the facility. Present in facility are 13 children, with 5 staff members, including the director. LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located 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. The facility received the ALE report from the Vendor on September 30, 2022. The facility also has an infant program (#214005608) under the same address and were both tested for lead contamination in their water. The areas where the infant rooms are, had no ALE for lead. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture C (6.5) is a sink located in a preschool classroom. According to the director, the faucet has been replaced and retested prior to March 14, 2023. LPAs observed that there was a new fixture where the affected fixture used to be and based on the retest results show 2.8 ppb. The facility is also using other sources of water, sinks that passed the tests, for food preparation and water ingestion or refill. LPA obtained hard copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), during the visit. * See next page for deficiencies cited today and will also be cleared on the same day. This report was reviewed and signed by Director, Chelsea Bryson. This notice of Site visit was provided to the Director and must remain posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023 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: OLD FIREHOUSE SCHOOL FACILITY NUMBER: 214005607 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/20/2023 Section Cited 101700.3 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility replaced the fixture and retested the new fixture, which tested below the threshold for an ALE. Director notified LPA of test results for new fixture on 3/14/23. 8 9 10 11 12 13 14Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This posed a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14Deficiency will be issued and cleared on the same day of visit. 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:Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023

Type B citation - potential risk if not corrected

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 October 19, 2023, Licensing Program Analysts (LPAs) Garcia and Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with director, Chelsea Bryson. LPAs explained the purpose of the visit and was given a tour of the facility. Present in facility are 13 children, with 5 staff members, including the director. LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located 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. The facility received the ALE report from the Vendor on September 30, 2022. The facility also has an infant program (#214005608) under the same address and were both tested for lead contamination in their water. The areas where the infant rooms are, had no ALE for lead. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture C (6.5) is a sink located in a preschool classroom. According to the director, the faucet has been replaced and retested prior to March 14, 2023. LPAs observed that there was a new fixture where the affected fixture used to be and based on the retest results show 2.8 ppb. The facility is also using other sources of water, sinks that passed the tests, for food preparation and water ingestion or refill. LPA obtained hard copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), during the visit. * See next page for deficiencies cited today and will also be cleared on the same day. This report was reviewed and signed by Director, Chelsea Bryson. This notice of Site visit was provided to the Director and must remain posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023 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: OLD FIREHOUSE SCHOOL FACILITY NUMBER: 214005607 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/20/2023 Section Cited 101700.3 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility replaced the fixture and retested the new fixture, which tested below the threshold for an ALE. Director notified LPA of test results for new fixture on 3/14/23. 8 9 10 11 12 13 14Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This posed a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14Deficiency will be issued and cleared on the same day of visit. 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:Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On October 19, 2023, Licensing Program Analysts (LPAs) Garcia and Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with director, Chelsea Bryson. LPAs explained the purpose of the visit and was given a tour of the facility. Present in facility are 13 children, with 5 staff members, including the director. LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located 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. The facility received the ALE report from the Vendor on September 30, 2022. The facility also has an infant program (#214005608) under the same address and were both tested for lead contamination in their water. The areas where the infant rooms are, had no ALE for lead. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture C (6.5) is a sink located in a preschool classroom. According to the director, the faucet has been replaced and retested prior to March 14, 2023. LPAs observed that there was a new fixture where the affected fixture used to be and based on the retest results show 2.8 ppb. The facility is also using other sources of water, sinks that passed the tests, for food preparation and water ingestion or refill. LPA obtained hard copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), during the visit. * See next page for deficiencies cited today and will also be cleared on the same day. This report was reviewed and signed by Director, Chelsea Bryson. This notice of Site visit was provided to the Director and must remain posted for 30 days. SUPERVISORS NAME: Daniel J Oquendo LICENSING EVALUATOR NAME: Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023 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: OLD FIREHOUSE SCHOOL FACILITY NUMBER: 214005607 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/19/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 11/20/2023 Section Cited 101700.3 1 2 3 4 5 6 7101700.3 California Lead Action Level at Child Care Centers (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 7The facility replaced the fixture and retested the new fixture, which tested below the threshold for an ALE. Director notified LPA of test results for new fixture on 3/14/23. 8 9 10 11 12 13 14Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This posed a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14Deficiency will be issued and cleared on the same day of visit. 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:Nathan Garcia LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023