LEUSD DONALD GRAHAM 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 25 On December 7, 2022 at 11:00 AM, Licensing Program Analyst (LPA) Andrea Taylor, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Taylor met with Karina Orellana, Teacher who was informed of the reason for the visit. Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. observed the sink/faucet identified as having high levels of lead. The sink is located in the school kitchen. The Administrator Steve Behar told LPA that the sink was immediately turned off and placed out of service and the faucet has been replaced. Interviews with staff revealed the kitchen sink is used for the kitchen staff, mostly hand washing. The food is brought into the school usually prepared and the kitchen staff deliver food to the classroom. See LIC 809D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12. An exit interview was conducted with teacher. A copy of this report, appeal rights and a Notice of Site Visit was issued. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: Andrea Taylor LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022 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: LEUSD DONALD GRAHAM PRESCHOOL FACILITY NUMBER: 334844025 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 01/09/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, 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 was not met as evidendence by:1 2 3 4 5 6 7The faucet has been replaced and remains out of service until it is retested. The re-test result will be submitted to: Pauline.Beschorner.@dss.ca.gov 8 9 10 11 12 13 14Water testing results taken on 11/15/22. The faucet in the kitchen tested higher for lead than the allowed limit.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:Pauline Beschorner LICENSING EVALUATOR NAME:Andrea Taylor LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 On December 7, 2022 at 11:00 AM, Licensing Program Analyst (LPA) Andrea Taylor, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Taylor met with Karina Orellana, Teacher who was informed of the reason for the visit. Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. observed the sink/faucet identified as having high levels of lead. The sink is located in the school kitchen. The Administrator Steve Behar told LPA that the sink was immediately turned off and placed out of service and the faucet has been replaced. Interviews with staff revealed the kitchen sink is used for the kitchen staff, mostly hand washing. The food is brought into the school usually prepared and the kitchen staff deliver food to the classroom. See LIC 809D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12. An exit interview was conducted with teacher. A copy of this report, appeal rights and a Notice of Site Visit was issued. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: Andrea Taylor LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022 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: LEUSD DONALD GRAHAM PRESCHOOL FACILITY NUMBER: 334844025 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 12/07/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 01/09/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, 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 was not met as evidendence by:1 2 3 4 5 6 7The faucet has been replaced and remains out of service until it is retested. The re-test result will be submitted to: Pauline.Beschorner.@dss.ca.gov 8 9 10 11 12 13 14Water testing results taken on 11/15/22. The faucet in the kitchen tested higher for lead than the allowed limit.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:Pauline Beschorner LICENSING EVALUATOR NAME:Andrea Taylor LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022

Type B citation - potential risk if not corrected