OPTIONS FOR LEARNING- LERMA

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 9/13/2023, at 1:30 PM, Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with Teacher Araceli Miranda, during the visit. There was no children present on this date since facility had no power. A COVID 19 risk assessment was conducted prior to entering the facility. Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Facility provided facility sketch and required forms LIC 9276, LIC 999 and LIC9275 to the department. On 7/5/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 6/10/2023 . Sink Faucets reported with 5.5 ppb or greater lead exceedance levels were as follows  C- Left side drinking water fountain in room # 1 (7.4 UG/L) LPA Lopez has been in contact with Facilities Administrator Andrea Butler who informed LPA that bubbler was replaced and had been re-tested on 7/29/2023, pending results.-- pg. 1 of 2----------- SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023 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: OPTIONS HEAD START - SHIVELYFACILITY NUMBER: 191593518 VISIT DATE: 09/13/2023 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 32LPA observed the water fountain to be uncovered- per Teacher Araceli Miranda, they were not aware of lead testing. LPA advised that water fountain has to be covered and made inaccessible for children in care. Fountain was covered with a taped bag around it during inspection- LPA took pictures before and after. Per teacher all children bring their own water bottles. See LIC809D for Type B deficiency cited. LPA did clear deficiency on this date and will provide facility representative with a copy of clearance on this date Appeal rights were provided to facility today. A notice of site visit was also provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Teacher Araceli Miranda. ----------------------------------------------------------pg.2 of 2 ------------------------------------------------------- SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023 FACILITY NAME: OPTIONS HEAD START - SHIVELY FACILITY NUMBER: 191593518 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/13/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/02/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1)California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater.., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not me at evidenced by 1 2 3 4 5 6 7Per Facilities representative the bubbler has been replaced and retested on 7/29/2023, pending results. Water fountain will remain covered and off limits for children until passing results are received. 8 9 10 11 12 13 14Based on ispection, the licensee did not comply with the directive above, as sample site C left water fountain in rm. # 1 tested with an Action Level Exceedance (ALE) of 7.4 ppb. This poses a potential health and safety risk to children in care8 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:Brandi VanOosten LICENSING EVALUATOR NAME:Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FA

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 9/13/2023, at 1:30 PM, Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with Teacher Araceli Miranda, during the visit. There was no children present on this date since facility had no power. A COVID 19 risk assessment was conducted prior to entering the facility. Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Facility provided facility sketch and required forms LIC 9276, LIC 999 and LIC9275 to the department. On 7/5/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 6/10/2023 . Sink Faucets reported with 5.5 ppb or greater lead exceedance levels were as follows  C- Left side drinking water fountain in room # 1 (7.4 UG/L) LPA Lopez has been in contact with Facilities Administrator Andrea Butler who informed LPA that bubbler was replaced and had been re-tested on 7/29/2023, pending results.-- pg. 1 of 2----------- SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023 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: OPTIONS HEAD START - SHIVELYFACILITY NUMBER: 191593518 VISIT DATE: 09/13/2023 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 32LPA observed the water fountain to be uncovered- per Teacher Araceli Miranda, they were not aware of lead testing. LPA advised that water fountain has to be covered and made inaccessible for children in care. Fountain was covered with a taped bag around it during inspection- LPA took pictures before and after. Per teacher all children bring their own water bottles. See LIC809D for Type B deficiency cited. LPA did clear deficiency on this date and will provide facility representative with a copy of clearance on this date Appeal rights were provided to facility today. A notice of site visit was also provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Teacher Araceli Miranda. ----------------------------------------------------------pg.2 of 2 ------------------------------------------------------- SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023 FACILITY NAME: OPTIONS HEAD START - SHIVELY FACILITY NUMBER: 191593518 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/13/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/02/2023 Section Cited CCR 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1)California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater.., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not me at evidenced by 1 2 3 4 5 6 7Per Facilities representative the bubbler has been replaced and retested on 7/29/2023, pending results. Water fountain will remain covered and off limits for children until passing results are received. 8 9 10 11 12 13 14Based on ispection, the licensee did not comply with the directive above, as sample site C left water fountain in rm. # 1 tested with an Action Level Exceedance (ALE) of 7.4 ppb. This poses a potential health and safety risk to children in care8 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:Brandi VanOosten LICENSING EVALUATOR NAME:Roxana Lopez LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FA

Type B citation - potential risk if not corrected