SOLANA BEACH PRESBYTERIAN 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 25On 10/20/22, Licenisng Origram Analyst (LPA), Tyra Block conducted an unannounced Case Management Inspection to follow up on the lead testing result for one of the water fountains at the facility with an Action Level Exceedance. LPA met with the director, Carla Martinez. There were 6 children and 3 staff present. Water outlet reported with 5.5 ppb or greater lead exceedance level: Drinking Fountain- Sample ID-R located in outdoor hall area (8.9 Ug/L or ppb) LPA observed the fountain has been removed subsequent to being made inaccessible/ off-limits to all 9/6/22. All other fountains and water outlets tested within an acceptable level with no lead exceedance. Parents have been notified by letter and results were posted. See LIC 809D for Type B deficiency cited during today's visit. An exit interview was conducted with facility representative, Carla Martinez. A copy of this report was provided along with a Notice of Site Visit that must be posted for 30 days. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Tyra Block LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022 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: SOLANA BEACH PRESBYTERIAN PRESCHOOL FACILITY NUMBER: 372000608 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/20/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/20/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Written Directive: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Faciity representative, Carla Martinez, provided LPA with written plan of correction and letter provided to parents to notify of lead results and action taken. LPA observed the fountain was removed. POC has been met as of 9/13/22. 8 9 10 11 12 13 14Based on documentation reviewed, observation, and interview the facility had 1 water fountain with an ALE of 8.9 ppb. It was located in the outdoor hallway and was inaccessible to daycare children. This poses a potential health, safety, and personal rights 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:Tashima Daniel LICENSING EVALUATOR NAME:Tyra Block LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022

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 10/20/22, Licenisng Origram Analyst (LPA), Tyra Block conducted an unannounced Case Management Inspection to follow up on the lead testing result for one of the water fountains at the facility with an Action Level Exceedance. LPA met with the director, Carla Martinez. There were 6 children and 3 staff present. Water outlet reported with 5.5 ppb or greater lead exceedance level: Drinking Fountain- Sample ID-R located in outdoor hall area (8.9 Ug/L or ppb) LPA observed the fountain has been removed subsequent to being made inaccessible/ off-limits to all 9/6/22. All other fountains and water outlets tested within an acceptable level with no lead exceedance. Parents have been notified by letter and results were posted. See LIC 809D for Type B deficiency cited during today's visit. An exit interview was conducted with facility representative, Carla Martinez. A copy of this report was provided along with a Notice of Site Visit that must be posted for 30 days. SUPERVISORS NAME: Tashima Daniel LICENSING EVALUATOR NAME: Tyra Block LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022 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: SOLANA BEACH PRESBYTERIAN PRESCHOOL FACILITY NUMBER: 372000608 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/20/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/20/2022 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Written Directive: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Faciity representative, Carla Martinez, provided LPA with written plan of correction and letter provided to parents to notify of lead results and action taken. LPA observed the fountain was removed. POC has been met as of 9/13/22. 8 9 10 11 12 13 14Based on documentation reviewed, observation, and interview the facility had 1 water fountain with an ALE of 8.9 ppb. It was located in the outdoor hallway and was inaccessible to daycare children. This poses a potential health, safety, and personal rights 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:Tashima Daniel LICENSING EVALUATOR NAME:Tyra Block LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022

Type B citation - potential risk if not corrected