CHILDRENS PLACE, THE

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 09/27/2022, Licensing Program Analyst (LPA) Lisa Clayton, conducted an unannounced case management - deficiencies visit. LPA was greeted by Director Kamilah Higgins. LPA Clayton toured the facility and observed 16 children being care for and supervised appropriately by 6 teachers. LPA Clayton explained the purpose of the visit. The department has received testing results, indicating 2 water outlets have been identified with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5 ppb, or greater. During today’s inspection, LPA Clayton obtained the following documents: Child Care Center Sampling Checklist Form (LIC 9276), External Water Sampler Self-Certification Form (LIC 9275) Facility Sketch labeled with locations of all water outlets that were tested, and a copy the Parents notification. Director Higgins stated the facility has notified all parents via email and posted the Lead Testing Results on the parent board. LPA observed the 2 water outlets that has ALE. Both outlets are located in the Children’s bathroom and are used exclusively for hand washing only. Teacher Jocelyn stated that the children do not drink from water outlets. LPA Clayton observed the outlets were bagged and were labeled with signs that states "Teachers/Staff: DO NOT ALLOW THE CHILDREN TO USE THE FAUCETS IN THE CHILDREN'S RESTROOM – PLEASE HAVE THE CHILDREN WASH THEIR HANDS AT THE SINK IN THE BONGO’S CLASSROOM – NOTICE THIS IS NOT A HAND WASHING SINK”. (See LIC812 – BATHROOM SINK PHOTOS). see LIC 809-C SUPERVISORS NAME: Mary Ruiz LICENSING EVALUATOR NAME: Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022 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: CHILDRENS PLACE, THEFACILITY NUMBER: 191670977 VISIT DATE: 09/27/2022 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 32Lead water testing samples collected on 07/15/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. Per the Written Directives for Lead Testing of Water in Licensed Child Care Center, AB 2370 the following deficiency is cited (See next page 809-D). For more information, go to the California Childhood. Lead Poisoning Prevention Branch's website at www.cdph.ca.gov/programs/clppb Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention An Exit interview conducted, and appeal right explained. A copy of this report, appeal rights, and Notice of Site Visit provided to Kamilah Higgins. SUPERVISORS NAME: Mary Ruiz LICENSING EVALUATOR NAME: Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022 FACILITY NAME: CHILDRENS PLACE, THE FACILITY NUMBER: 191670977 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/27/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action at Child Care Centers (b)Testing results with fractional ppb readings....(1) A result of 5.5ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by the Action Level Exceedance results revealed1 2 3 4 5 6 7The Director and staff will ensure that the faucets in the children’s bathroom are used solely for the intended purpose of handwashing only. 8 9 10 11 12 13 14that levels of lead were beyond allowable amount deemed by the State of California, if not corrected this poses a potential Health and Safety or Personal Rights risk to children in care.8 9 10 11 12 13 14Director Kamilah will post signs to directing that food prep, drinking, filling of water bottles or cups is NOT ALLOWED at the above-mentioned sinks/faucets. Immediately upon posting, a picture of the signs will be forwarded to LPA Clayton. 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:Mary Ruiz LICENSING EVALUATOR NAME:Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022

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 09/27/2022, Licensing Program Analyst (LPA) Lisa Clayton, conducted an unannounced case management - deficiencies visit. LPA was greeted by Director Kamilah Higgins. LPA Clayton toured the facility and observed 16 children being care for and supervised appropriately by 6 teachers. LPA Clayton explained the purpose of the visit. The department has received testing results, indicating 2 water outlets have been identified with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5 ppb, or greater. During today’s inspection, LPA Clayton obtained the following documents: Child Care Center Sampling Checklist Form (LIC 9276), External Water Sampler Self-Certification Form (LIC 9275) Facility Sketch labeled with locations of all water outlets that were tested, and a copy the Parents notification. Director Higgins stated the facility has notified all parents via email and posted the Lead Testing Results on the parent board. LPA observed the 2 water outlets that has ALE. Both outlets are located in the Children’s bathroom and are used exclusively for hand washing only. Teacher Jocelyn stated that the children do not drink from water outlets. LPA Clayton observed the outlets were bagged and were labeled with signs that states "Teachers/Staff: DO NOT ALLOW THE CHILDREN TO USE THE FAUCETS IN THE CHILDREN'S RESTROOM – PLEASE HAVE THE CHILDREN WASH THEIR HANDS AT THE SINK IN THE BONGO’S CLASSROOM – NOTICE THIS IS NOT A HAND WASHING SINK”. (See LIC812 – BATHROOM SINK PHOTOS). see LIC 809-C SUPERVISORS NAME: Mary Ruiz LICENSING EVALUATOR NAME: Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022 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: CHILDRENS PLACE, THEFACILITY NUMBER: 191670977 VISIT DATE: 09/27/2022 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 32Lead water testing samples collected on 07/15/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. Per the Written Directives for Lead Testing of Water in Licensed Child Care Center, AB 2370 the following deficiency is cited (See next page 809-D). For more information, go to the California Childhood. Lead Poisoning Prevention Branch's website at www.cdph.ca.gov/programs/clppb Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention An Exit interview conducted, and appeal right explained. A copy of this report, appeal rights, and Notice of Site Visit provided to Kamilah Higgins. SUPERVISORS NAME: Mary Ruiz LICENSING EVALUATOR NAME: Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022 FACILITY NAME: CHILDRENS PLACE, THE FACILITY NUMBER: 191670977 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/27/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action at Child Care Centers (b)Testing results with fractional ppb readings....(1) A result of 5.5ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by the Action Level Exceedance results revealed1 2 3 4 5 6 7The Director and staff will ensure that the faucets in the children’s bathroom are used solely for the intended purpose of handwashing only. 8 9 10 11 12 13 14that levels of lead were beyond allowable amount deemed by the State of California, if not corrected this poses a potential Health and Safety or Personal Rights risk to children in care.8 9 10 11 12 13 14Director Kamilah will post signs to directing that food prep, drinking, filling of water bottles or cups is NOT ALLOWED at the above-mentioned sinks/faucets. Immediately upon posting, a picture of the signs will be forwarded to LPA Clayton. 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:Mary Ruiz LICENSING EVALUATOR NAME:Lisa Clayton LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022