BRIARWOOD CHILDREN'S CENTER/STATE PRESCHOOL

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) Anna Morales conducted an unannounced Case Management inspection. LPA met with Site Supervisor Dianna Diaz, and explained the purpose of the inspection. LPA reviewed water sample summary and requested Site Supervisor to identify Drinking Faucet in Room 25(Kitchen area,R) with reported Lead Action Level Exceedance of 5.5 parts per billion (ppb) or greater. LPA observed that the Drinking Faucet was removed. Site Supervisor stated that the staff and students never used that fountain. LPA notes that the Facility's operating days and hours are Monday to Friday, 7:15 AM to 5:30 PM in Rooms 25 and 26. Room 30 is shared by State Preschool and the Inconclusion Program. Hours of operation for Room 30 (State Preschool) is 8:15am-11:15am. LPA observed 18 children present and five staff present. LPA requested Site Supervisor to submit the following facility documents during today's inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), and Facility Sketch (LIC999) labeled with locations of water outlets that were tested. The water sample conducted by Enthalpy Analytical on 05/17/25 indicated the following: 1) Drinking Fountain-Room 25 Kitchen(R)has Lead Action Level Exceedance value of 5.5ppb. Exit interview was conducted with Site Supervisor and discussed the Type B deficiency and Plan of Correction(POC)that was cited during today's inspection which follows on the next page. Appeal Rights given. LPA issued a Notice of Site Visit and informed Site Supervisor to post in a visible location for 30 days. NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon NAME OF LICENSING PROGRAM ANALYST: Anna Morales LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agen

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 25Licensing Program Analyst (LPA) Anna Morales conducted an unannounced Case Management inspection. LPA met with Site Supervisor Dianna Diaz, and explained the purpose of the inspection. LPA reviewed water sample summary and requested Site Supervisor to identify Drinking Faucet in Room 25(Kitchen area,R) with reported Lead Action Level Exceedance of 5.5 parts per billion (ppb) or greater. LPA observed that the Drinking Faucet was removed. Site Supervisor stated that the staff and students never used that fountain. LPA notes that the Facility's operating days and hours are Monday to Friday, 7:15 AM to 5:30 PM in Rooms 25 and 26. Room 30 is shared by State Preschool and the Inconclusion Program. Hours of operation for Room 30 (State Preschool) is 8:15am-11:15am. LPA observed 18 children present and five staff present. LPA requested Site Supervisor to submit the following facility documents during today's inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), and Facility Sketch (LIC999) labeled with locations of water outlets that were tested. The water sample conducted by Enthalpy Analytical on 05/17/25 indicated the following: 1) Drinking Fountain-Room 25 Kitchen(R)has Lead Action Level Exceedance value of 5.5ppb. Exit interview was conducted with Site Supervisor and discussed the Type B deficiency and Plan of Correction(POC)that was cited during today's inspection which follows on the next page. Appeal Rights given. LPA issued a Notice of Site Visit and informed Site Supervisor to post in a visible location for 30 days. NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon NAME OF LICENSING PROGRAM ANALYST: Anna Morales LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agen

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) Anna Morales conducted an unannounced Case Management inspection. LPA met with Site Supervisor Dianna Diaz, and explained the purpose of the inspection. LPA reviewed water sample summary and requested Site Supervisor to identify Drinking Faucet in Room 25(Kitchen area,R) with reported Lead Action Level Exceedance of 5.5 parts per billion (ppb) or greater. LPA observed that the Drinking Faucet was removed. Site Supervisor stated that the staff and students never used that fountain. LPA notes that the Facility's operating days and hours are Monday to Friday, 7:15 AM to 5:30 PM in Rooms 25 and 26. Room 30 is shared by State Preschool and the Inconclusion Program. Hours of operation for Room 30 (State Preschool) is 8:15am-11:15am. LPA observed 18 children present and five staff present. LPA requested Site Supervisor to submit the following facility documents during today's inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), and Facility Sketch (LIC999) labeled with locations of water outlets that were tested. The water sample conducted by Enthalpy Analytical on 05/17/25 indicated the following: 1) Drinking Fountain-Room 25 Kitchen(R)has Lead Action Level Exceedance value of 5.5ppb. Exit interview was conducted with Site Supervisor and discussed the Type B deficiency and Plan of Correction(POC)that was cited during today's inspection which follows on the next page. Appeal Rights given. LPA issued a Notice of Site Visit and informed Site Supervisor to post in a visible location for 30 days. NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon NAME OF LICENSING PROGRAM ANALYST: Anna Morales LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agen

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) Anna Morales conducted an unannounced Case Management inspection. LPA met with Site Supervisor Dianna Diaz, and explained the purpose of the inspection. LPA reviewed water sample summary and requested Site Supervisor to identify Drinking Faucet in Room 25(Kitchen area,R) with reported Lead Action Level Exceedance of 5.5 parts per billion (ppb) or greater. LPA observed that the Drinking Faucet was removed. Site Supervisor stated that the staff and students never used that fountain. LPA notes that the Facility's operating days and hours are Monday to Friday, 7:15 AM to 5:30 PM in Rooms 25 and 26. Room 30 is shared by State Preschool and the Inconclusion Program. Hours of operation for Room 30 (State Preschool) is 8:15am-11:15am. LPA observed 18 children present and five staff present. LPA requested Site Supervisor to submit the following facility documents during today's inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), and Facility Sketch (LIC999) labeled with locations of water outlets that were tested. The water sample conducted by Enthalpy Analytical on 05/17/25 indicated the following: 1) Drinking Fountain-Room 25 Kitchen(R)has Lead Action Level Exceedance value of 5.5ppb. Exit interview was conducted with Site Supervisor and discussed the Type B deficiency and Plan of Correction(POC)that was cited during today's inspection which follows on the next page. Appeal Rights given. LPA issued a Notice of Site Visit and informed Site Supervisor to post in a visible location for 30 days. NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon NAME OF LICENSING PROGRAM ANALYST: Anna Morales LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025 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 EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agen

Type A citation from complaint investigation - immediate risk