SRVSACCA - KIDS COUNTRY AT QUAIL RUN

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 12/18/2023 at 1:28pm, Licensing Program Analyst (LPA) Morgan Pringle conducted a case management inspection due to the center's lead testing results. The facility is on the Quail Run Elementary School campus. LPA met with Director Jonathan Truong. There were twenty-two (22) children and seven (7) additional staff members present during LPA's visit. The department was notified that one (1) water outlet tested on 11/5/2022 located in room two (2) had elevated lead levels that had exceeded 5.5 ppb. This exceeded the Action Level Exceedance (ALE) established by the state for lead exposure. The outlet was immediately closed off and made inaccessible to the children in care. San Ramon Unified School District replaced the outlet and it was retested on 1/28/2023. The new outlet tested below 5.5 ppb. See LIC809D for Type B deficiency cited during today's inspection. Exit interview conducted with Director Jonathan Truong. A notice of site visit was provided and must be posted for 30 days. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023 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: SRVSACCA - KIDS COUNTRY AT QUAIL RUN FACILITY NUMBER: 073405628 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/18/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/18/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) - Lead Testing Written Directive - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE) 1 2 3 4 5 6 7The outlet in Room 2 that had exceeded lead levels was replaced and was retested on 1/28/2023. The new faucet tested at a level below the maxium level of 5.5 ppb. No Plan of Correction needed. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on record review, the facility had 1 outlet in Room 2 that had an ALE of 5.5ppb or greater which posed 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:Jason Jang LICENSING EVALUATOR NAME:Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023

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 12/18/2023 at 1:28pm, Licensing Program Analyst (LPA) Morgan Pringle conducted a case management inspection due to the center's lead testing results. The facility is on the Quail Run Elementary School campus. LPA met with Director Jonathan Truong. There were twenty-two (22) children and seven (7) additional staff members present during LPA's visit. The department was notified that one (1) water outlet tested on 11/5/2022 located in room two (2) had elevated lead levels that had exceeded 5.5 ppb. This exceeded the Action Level Exceedance (ALE) established by the state for lead exposure. The outlet was immediately closed off and made inaccessible to the children in care. San Ramon Unified School District replaced the outlet and it was retested on 1/28/2023. The new outlet tested below 5.5 ppb. See LIC809D for Type B deficiency cited during today's inspection. Exit interview conducted with Director Jonathan Truong. A notice of site visit was provided and must be posted for 30 days. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023 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: SRVSACCA - KIDS COUNTRY AT QUAIL RUN FACILITY NUMBER: 073405628 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/18/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/18/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) - Lead Testing Written Directive - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE) 1 2 3 4 5 6 7The outlet in Room 2 that had exceeded lead levels was replaced and was retested on 1/28/2023. The new faucet tested at a level below the maxium level of 5.5 ppb. No Plan of Correction needed. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on record review, the facility had 1 outlet in Room 2 that had an ALE of 5.5ppb or greater which posed 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:Jason Jang LICENSING EVALUATOR NAME:Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023

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 12/18/2023 at 1:28pm, Licensing Program Analyst (LPA) Morgan Pringle conducted a case management inspection due to the center's lead testing results. The facility is on the Quail Run Elementary School campus. LPA met with Director Jonathan Truong. There were twenty-two (22) children and seven (7) additional staff members present during LPA's visit. The department was notified that one (1) water outlet tested on 11/5/2022 located in room two (2) had elevated lead levels that had exceeded 5.5 ppb. This exceeded the Action Level Exceedance (ALE) established by the state for lead exposure. The outlet was immediately closed off and made inaccessible to the children in care. San Ramon Unified School District replaced the outlet and it was retested on 1/28/2023. The new outlet tested below 5.5 ppb. See LIC809D for Type B deficiency cited during today's inspection. Exit interview conducted with Director Jonathan Truong. A notice of site visit was provided and must be posted for 30 days. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023 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: SRVSACCA - KIDS COUNTRY AT QUAIL RUN FACILITY NUMBER: 073405628 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/18/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/18/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) - Lead Testing Written Directive - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE) 1 2 3 4 5 6 7The outlet in Room 2 that had exceeded lead levels was replaced and was retested on 1/28/2023. The new faucet tested at a level below the maxium level of 5.5 ppb. No Plan of Correction needed. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on record review, the facility had 1 outlet in Room 2 that had an ALE of 5.5ppb or greater which posed 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:Jason Jang LICENSING EVALUATOR NAME:Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023

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 12/18/2023 at 1:28pm, Licensing Program Analyst (LPA) Morgan Pringle conducted a case management inspection due to the center's lead testing results. The facility is on the Quail Run Elementary School campus. LPA met with Director Jonathan Truong. There were twenty-two (22) children and seven (7) additional staff members present during LPA's visit. The department was notified that one (1) water outlet tested on 11/5/2022 located in room two (2) had elevated lead levels that had exceeded 5.5 ppb. This exceeded the Action Level Exceedance (ALE) established by the state for lead exposure. The outlet was immediately closed off and made inaccessible to the children in care. San Ramon Unified School District replaced the outlet and it was retested on 1/28/2023. The new outlet tested below 5.5 ppb. See LIC809D for Type B deficiency cited during today's inspection. Exit interview conducted with Director Jonathan Truong. A notice of site visit was provided and must be posted for 30 days. SUPERVISORS NAME: Jason Jang LICENSING EVALUATOR NAME: Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023 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: SRVSACCA - KIDS COUNTRY AT QUAIL RUN FACILITY NUMBER: 073405628 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/18/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 12/18/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) - Lead Testing Written Directive - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE) 1 2 3 4 5 6 7The outlet in Room 2 that had exceeded lead levels was replaced and was retested on 1/28/2023. The new faucet tested at a level below the maxium level of 5.5 ppb. No Plan of Correction needed. 8 9 10 11 12 13 14This requirement is not met as evidenced by: Based on record review, the facility had 1 outlet in Room 2 that had an ALE of 5.5ppb or greater which posed 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:Jason Jang LICENSING EVALUATOR NAME:Morgan Pringle LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023