GARDEN GROVE UNIFIED SCHOOL DISTRICT/HERITAGE

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, Dianna Valdez-Santana and Mila Quinto conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 08/10/2022. LPAs met with Principal Ryan Loberger, who was explained the reason for today’s visit. LPAs observed 4 staff and 11 preschool children in care. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 08/10/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations. Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement. Facility staff was advised on 08/29/2022 that the Lead Sample Report was to be posted. LPAs observed the facility had not posted the Lead Sample Report. Page 1 of 2 SUPERVISORS NAME: Thuy Ho LICENSING EVALUATOR NAME: Dianna ValdezSantana LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022 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 3 FACILITY NAME: GARDEN GROVE UNIFIED SCHOOL DISTRICT/HERITAGEFACILITY NUMBER: 300614013 VISIT DATE: 08/30/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32On 08/30/22 LPA spoke with Principal, Mr. Loberger, who stated that two outlets had ALE over 5.0 had been made inaccessible to children via bagged and covered with plastic. Based on the report received from the facility, the drinking fountain/sink located in Room 6,the the faucet was replaced on 8/23/22 and resampled on 8/24/22 and passed for no high levels of lead. The drinking spout was also resampled on 8/24/22 and it still tested for elevated levels of lead. Spout was bagged and taped off to ensure inaccessibility. The outlet in Room 5 is a drinking fountain/sink and it was replaced on 8/23/22 and resampled on 8/24/22 and passed with no high levels of lead. Principal reports they use water from the sinks that passed with no high levels of lead and children also bring their own water bottles as alternate water sources. Based on LPAs staff interviews, review of facility sketch and walkthrough and review of the “Analytical Lead Test Results” documents, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D. Exit interview conducted with Principal, Ryan Lobereger the report was reviewed and discussed. Appeal Rights were discussed. Facility staff was provided copy of their appeal rights (lic 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days. The staff was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00. Page 2 of 2 SUPERVISORS NAME: Thuy Ho LICENSING EVALUATOR NAME: Dianna ValdezSantana LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022 FACILITY NAME: GARDEN GROVE UNIFIED SCHOOL DISTRICT/HERITAGE FACILITY NUMBER: 300614013 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/30/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 09/30/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by:1 2 3 4 5 6

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, Dianna Valdez-Santana and Mila Quinto conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 08/10/2022. LPAs met with Principal Ryan Loberger, who was explained the reason for today’s visit. LPAs observed 4 staff and 11 preschool children in care. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 08/10/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations. Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement. Facility staff was advised on 08/29/2022 that the Lead Sample Report was to be posted. LPAs observed the facility had not posted the Lead Sample Report. Page 1 of 2 SUPERVISORS NAME: Thuy Ho LICENSING EVALUATOR NAME: Dianna ValdezSantana LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022 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 3 FACILITY NAME: GARDEN GROVE UNIFIED SCHOOL DISTRICT/HERITAGEFACILITY NUMBER: 300614013 VISIT DATE: 08/30/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32On 08/30/22 LPA spoke with Principal, Mr. Loberger, who stated that two outlets had ALE over 5.0 had been made inaccessible to children via bagged and covered with plastic. Based on the report received from the facility, the drinking fountain/sink located in Room 6,the the faucet was replaced on 8/23/22 and resampled on 8/24/22 and passed for no high levels of lead. The drinking spout was also resampled on 8/24/22 and it still tested for elevated levels of lead. Spout was bagged and taped off to ensure inaccessibility. The outlet in Room 5 is a drinking fountain/sink and it was replaced on 8/23/22 and resampled on 8/24/22 and passed with no high levels of lead. Principal reports they use water from the sinks that passed with no high levels of lead and children also bring their own water bottles as alternate water sources. Based on LPAs staff interviews, review of facility sketch and walkthrough and review of the “Analytical Lead Test Results” documents, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D. Exit interview conducted with Principal, Ryan Lobereger the report was reviewed and discussed. Appeal Rights were discussed. Facility staff was provided copy of their appeal rights (lic 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days. The staff was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00. Page 2 of 2 SUPERVISORS NAME: Thuy Ho LICENSING EVALUATOR NAME: Dianna ValdezSantana LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022 FACILITY NAME: GARDEN GROVE UNIFIED SCHOOL DISTRICT/HERITAGE FACILITY NUMBER: 300614013 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/30/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 09/30/2022 Section Cited CCR 101238(a) 1 2 3 4 5 6 7101238 Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by:1 2 3 4 5 6

Type B citation - potential risk if not corrected