STRATFORD SCHOOL

The Lead Sampling Report in three identified faucest are 7.40,7.60,7.80 ppb. This poses a potential risk to the health, safety, or personal rights of children in care.

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

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 25 Licensing Program Analyst (LPA) Kaur conducted an unannounced Case Management inspection. LPA met with Director Swathi Krishnan and explained the reason for the inspection.The purpose of this inspection is lead testing completed with an exceedance. The facility had a result of 7.80,7.60.7.40ppb. LPA reviewed the water sample summary and asked director to identify faucet "A,B and D" with reported Lead Action Level Exceedance. LPA was accompanied by Director to check Rooms 103,104 and 107. LPA observed that the classroom faucet is labelled. All faucets indicated that they are only using faucet to wash their hands. LPA observed filtered water container in the classroom. Director stated that they use britta filtered water. LPA obtained a copy of the LIC 9275, LIC 9276, and facility sketch which indicates the location of all water outlets during today's inspection. Facility had fixed the faucets pipe on 08/23/22 with Ecco Services. Director stated that they had retested again and waiting for results to come out. As a result of this inspection, Type B deficiency was cited on the following page. Exit interview conducted and report was reviewed with Director Swathi Krishnan. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. SUPERVISORS NAME: Diana Stephenson LICENSING EVALUATOR NAME: Harsimran Kaur LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022 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: 434408877 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/19/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 10/31/2022 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 7The faucets have "Do Not Drink" sign was placed. Faucets are use for hand washing only. The children are using filtered water for drinking purposes. The facility to submit a new water sample test result to Licensing that is within the reporting limits by 10/31/22. 8 9 10 11 12 13 14The Lead Sampling Report in three identified faucest are 7.40,7.60,7.80 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:Harsimran Kaur LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022

Type B citation - potential risk if not corrected