KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL

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 9/15/22 9:15am Licensing Program Analyst (LPA) Denise Miranda arrived at Kadima Hebrew Academy – ECE – DBA Kadima Day School to conduct an unannounced case management visit. Upon arrival, LPA observed the facility have two firearm securities, per Lead Teacher Ms. Leslie Maltz (Steier), school don’t have a firearms waiver on file. LPA Miranda was greeted by Lead teacher Ms. Leslie Maltz (Steier) and Mr. Jose Avina, Director of plant operations and Dr. Steven Lorch, Head of the School, LPA informed about the purpose of the visit and guided on a tour of the facility. During this inspection Director was not present. There are 17 staff were present with 78 children. At 10:29am Facility conducted a fire drill and all children, staff and LPA evacuated the building. At 10:42am, Facility concluded the fire drill and all children, staff and LPA were dismissed to return to the facility. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 6/27/2022 failed allowable limit. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). SUPERVISORS NAME: Lisa Rios LICENSING EVALUATOR NAME: Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 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 5 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/16/2022 Section Cited CCR 101238(g)(2) 1 2 3 4 5 6 7101238 (g) (2) Buildings and Grounds: (m) Firearms and other weapons shall not be allowed on or stored on the premises of a child care center. The requirement is not met as eveidenced. 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant of operation, facility will submit a firearms waiver no later than 09/16/2022. LPA provided guidance to Lead Teacher about the process of firearms waiver and declaration was obtained. 8 9 10 11 12 13 14On 9/15/2022 Upon arrival, LPA observed two securities guard with firearms. Per Director of Plant and Lead Teacher, the facility did not report to DSS and do not have a firearms waiver on file. This poses an immediately health & safety risk to the 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:Lisa Rios LICENSING EVALUATOR NAME:Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited CCR 101238.a 1 2 3 4 5 6 7101238. a. Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by: 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant operationsl followed Written Directives in PIN 21-21 CCP for lead water testing. Licensing Forms completed; LIC9275, LIC9276 and facility sketch was revised and provided a copy to LPA. LPA obtained a LIC855 Declaration from Lead Teacher regarding the plan of correction of the two areas that exceed the lead results. The faucet from the kitchen sink will be replace on 09/19/2022 and facility will contact the sampler for re-test. Facility will submit a new report to LPA Miranda no later than 09/30/2022. 8 9 10 11 12 13 14Based on lab report analysis water from the D – Drinking Fountain – Hallway ( 7.5 results Ug/L), and B – Sink_Faucet_Kitchen (5.8 result per Ug/L. These faucets samples taken on 6/27/2022 indicate levels of lead in exceedance. This poses a potential health & safety risk to the children in care. 8 9 10 11 12 13 14LPA provided the following docume

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 9/15/22 9:15am Licensing Program Analyst (LPA) Denise Miranda arrived at Kadima Hebrew Academy – ECE – DBA Kadima Day School to conduct an unannounced case management visit. Upon arrival, LPA observed the facility have two firearm securities, per Lead Teacher Ms. Leslie Maltz (Steier), school don’t have a firearms waiver on file. LPA Miranda was greeted by Lead teacher Ms. Leslie Maltz (Steier) and Mr. Jose Avina, Director of plant operations and Dr. Steven Lorch, Head of the School, LPA informed about the purpose of the visit and guided on a tour of the facility. During this inspection Director was not present. There are 17 staff were present with 78 children. At 10:29am Facility conducted a fire drill and all children, staff and LPA evacuated the building. At 10:42am, Facility concluded the fire drill and all children, staff and LPA were dismissed to return to the facility. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 6/27/2022 failed allowable limit. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). SUPERVISORS NAME: Lisa Rios LICENSING EVALUATOR NAME: Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 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 5 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/16/2022 Section Cited CCR 101238(g)(2) 1 2 3 4 5 6 7101238 (g) (2) Buildings and Grounds: (m) Firearms and other weapons shall not be allowed on or stored on the premises of a child care center. The requirement is not met as eveidenced. 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant of operation, facility will submit a firearms waiver no later than 09/16/2022. LPA provided guidance to Lead Teacher about the process of firearms waiver and declaration was obtained. 8 9 10 11 12 13 14On 9/15/2022 Upon arrival, LPA observed two securities guard with firearms. Per Director of Plant and Lead Teacher, the facility did not report to DSS and do not have a firearms waiver on file. This poses an immediately health & safety risk to the 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:Lisa Rios LICENSING EVALUATOR NAME:Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited CCR 101238.a 1 2 3 4 5 6 7101238. a. Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by: 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant operationsl followed Written Directives in PIN 21-21 CCP for lead water testing. Licensing Forms completed; LIC9275, LIC9276 and facility sketch was revised and provided a copy to LPA. LPA obtained a LIC855 Declaration from Lead Teacher regarding the plan of correction of the two areas that exceed the lead results. The faucet from the kitchen sink will be replace on 09/19/2022 and facility will contact the sampler for re-test. Facility will submit a new report to LPA Miranda no later than 09/30/2022. 8 9 10 11 12 13 14Based on lab report analysis water from the D – Drinking Fountain – Hallway ( 7.5 results Ug/L), and B – Sink_Faucet_Kitchen (5.8 result per Ug/L. These faucets samples taken on 6/27/2022 indicate levels of lead in exceedance. This poses a potential health & safety risk to the children in care. 8 9 10 11 12 13 14LPA provided the following docume

Type A citation - immediate risk to health, safety, or personal rights

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 9/15/22 9:15am Licensing Program Analyst (LPA) Denise Miranda arrived at Kadima Hebrew Academy – ECE – DBA Kadima Day School to conduct an unannounced case management visit. Upon arrival, LPA observed the facility have two firearm securities, per Lead Teacher Ms. Leslie Maltz (Steier), school don’t have a firearms waiver on file. LPA Miranda was greeted by Lead teacher Ms. Leslie Maltz (Steier) and Mr. Jose Avina, Director of plant operations and Dr. Steven Lorch, Head of the School, LPA informed about the purpose of the visit and guided on a tour of the facility. During this inspection Director was not present. There are 17 staff were present with 78 children. At 10:29am Facility conducted a fire drill and all children, staff and LPA evacuated the building. At 10:42am, Facility concluded the fire drill and all children, staff and LPA were dismissed to return to the facility. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 6/27/2022 failed allowable limit. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). SUPERVISORS NAME: Lisa Rios LICENSING EVALUATOR NAME: Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 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 5 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/16/2022 Section Cited CCR 101238(g)(2) 1 2 3 4 5 6 7101238 (g) (2) Buildings and Grounds: (m) Firearms and other weapons shall not be allowed on or stored on the premises of a child care center. The requirement is not met as eveidenced. 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant of operation, facility will submit a firearms waiver no later than 09/16/2022. LPA provided guidance to Lead Teacher about the process of firearms waiver and declaration was obtained. 8 9 10 11 12 13 14On 9/15/2022 Upon arrival, LPA observed two securities guard with firearms. Per Director of Plant and Lead Teacher, the facility did not report to DSS and do not have a firearms waiver on file. This poses an immediately health & safety risk to the 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:Lisa Rios LICENSING EVALUATOR NAME:Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited CCR 101238.a 1 2 3 4 5 6 7101238. a. Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by: 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant operationsl followed Written Directives in PIN 21-21 CCP for lead water testing. Licensing Forms completed; LIC9275, LIC9276 and facility sketch was revised and provided a copy to LPA. LPA obtained a LIC855 Declaration from Lead Teacher regarding the plan of correction of the two areas that exceed the lead results. The faucet from the kitchen sink will be replace on 09/19/2022 and facility will contact the sampler for re-test. Facility will submit a new report to LPA Miranda no later than 09/30/2022. 8 9 10 11 12 13 14Based on lab report analysis water from the D – Drinking Fountain – Hallway ( 7.5 results Ug/L), and B – Sink_Faucet_Kitchen (5.8 result per Ug/L. These faucets samples taken on 6/27/2022 indicate levels of lead in exceedance. This poses a potential health & safety risk to the children in care. 8 9 10 11 12 13 14LPA provided the following docume

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 9/15/22 9:15am Licensing Program Analyst (LPA) Denise Miranda arrived at Kadima Hebrew Academy – ECE – DBA Kadima Day School to conduct an unannounced case management visit. Upon arrival, LPA observed the facility have two firearm securities, per Lead Teacher Ms. Leslie Maltz (Steier), school don’t have a firearms waiver on file. LPA Miranda was greeted by Lead teacher Ms. Leslie Maltz (Steier) and Mr. Jose Avina, Director of plant operations and Dr. Steven Lorch, Head of the School, LPA informed about the purpose of the visit and guided on a tour of the facility. During this inspection Director was not present. There are 17 staff were present with 78 children. At 10:29am Facility conducted a fire drill and all children, staff and LPA evacuated the building. At 10:42am, Facility concluded the fire drill and all children, staff and LPA were dismissed to return to the facility. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. Community Care Licensing was notified that lead water testing conducted at the facility on 6/27/2022 failed allowable limit. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE). SUPERVISORS NAME: Lisa Rios LICENSING EVALUATOR NAME: Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 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 5 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 09/16/2022 Section Cited CCR 101238(g)(2) 1 2 3 4 5 6 7101238 (g) (2) Buildings and Grounds: (m) Firearms and other weapons shall not be allowed on or stored on the premises of a child care center. The requirement is not met as eveidenced. 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant of operation, facility will submit a firearms waiver no later than 09/16/2022. LPA provided guidance to Lead Teacher about the process of firearms waiver and declaration was obtained. 8 9 10 11 12 13 14On 9/15/2022 Upon arrival, LPA observed two securities guard with firearms. Per Director of Plant and Lead Teacher, the facility did not report to DSS and do not have a firearms waiver on file. This poses an immediately health & safety risk to the 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:Lisa Rios LICENSING EVALUATOR NAME:Denise Miranda LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022 FACILITY NAME: KADIMA HEBREW ACADEMY-ECEC,DBA KADIMA DAY SCHOOL FACILITY NUMBER: 197412693 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/15/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/30/2022 Section Cited CCR 101238.a 1 2 3 4 5 6 7101238. a. Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by: 1 2 3 4 5 6 7Per Lead Teacher and Director of Plant operationsl followed Written Directives in PIN 21-21 CCP for lead water testing. Licensing Forms completed; LIC9275, LIC9276 and facility sketch was revised and provided a copy to LPA. LPA obtained a LIC855 Declaration from Lead Teacher regarding the plan of correction of the two areas that exceed the lead results. The faucet from the kitchen sink will be replace on 09/19/2022 and facility will contact the sampler for re-test. Facility will submit a new report to LPA Miranda no later than 09/30/2022. 8 9 10 11 12 13 14Based on lab report analysis water from the D – Drinking Fountain – Hallway ( 7.5 results Ug/L), and B – Sink_Faucet_Kitchen (5.8 result per Ug/L. These faucets samples taken on 6/27/2022 indicate levels of lead in exceedance. This poses a potential health & safety risk to the children in care. 8 9 10 11 12 13 14LPA provided the following docume