Follow-up·March 24, 2022

On 3/24/22 Licensing Program Analyst (LPA) Dalicia Adkins arrived at Bright Horizons Children Center to conduct an unannounced case management visit. LPA Adkins was greeted by office manager and Covid 19 screening survey conducted. LPA cleared to proceed into the facility and was met by Director, Estela Padilla Salazar, LPA Adkins informed director about the purpose of the visit and guided on a tour of the facility. Four staff present during this visit: Director, 2 teachers and office staff. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC\342\200\231s) 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 2/2/2022 failed allowable limit for lead. The Purpose of today\342\200\231s visit is to follow up lead testing results of Action Level Exceedances (ALE). Instructions for required lead testing are outlined in PIN 21-21. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations. Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in a parts per billion (ppb) unit of measurement. Page 1 During today\342\200\231s visit LPA Adkins observed one water outlet, taped and labeled. This outlet is located on the toddler\342\200\231s room and was identified on facility sketch. LPA observed another water outlet taped and labeled in the kitchen, also identified on the facility sketch. Prior to today\342\200\231s visit director send LPA Adkins pictures of outlets. Director stated that the toddlers did not consume water from the water outlet. Water from the outlet was used for cleaning and activities. Director stated that the water outlet in the kitchen was not used for consumption. Per director staff used water from the outlet for cleaning only. None of these outlets are in use at this time. Per Director, Dispenser filtered water is used for drinking and making beverages. Dispenser filtered water is always ready and available. Parents bring pre-made bottles for the infants, and parents prepare meals for the toddlers. Director provides snacks only. Prior to today\342\200\231s visit director sent LPA Adkins the following via email; communication letter to parents informing parents of failed allowable lead amounts and implemented plan of correction. Pictures of water outlets: Faucet A ( reading of 36 ppb) and D (reading of 6.9 ppb) - Out of Service for Lead Testing, Do not use Signage with bag dated 2/1/2022. Results of lead water sample testing conducting by Alpha Analytical Laboratories Inc, along with Chain of Custody Work Order. Water shut down immediately, filtration system added, and conditioning for 3 weeks. Required Licensing Forms; Completed LIC 9275 and 9276, singed and dated 2/2/22. LIC 999- Facility Sketch identifying location of water outlets. Bright Horizon letter describing violation and planned correction. Parents bring pre-made bottles for the infants, and parents prepare meals for the toddlers. Director provides snacks only. During today\342\200\231s visit LPA Adkins collected the following: updated licensing forms LIC 9275 and LIC 9276, dated 3/22/22, Pictures of Water Outlets (not in use), new chain of custody work order, pictures of filers installed on faucet piping, dated 2/24/2022. And a picture taken while conducting routine flushing. Roster of routine water flushing from 2/28/22-3/18/22. Page 2 Required licensing forms (Facility Sketch, LIC 9275, LIC 9276) will be uploaded on California State Water Resources Control Board Division Drinking Water (DDWD) database. Based on observation, interviews and supportive documents it has been determined that Bright Horizons Child Care violated Child Care Licensing Regulation Title Division 12, Chapter 1- Physical Plant, Building and Grounds -Section 101238 (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. Lead water testing samples taken on 2/2/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today\342\200\231s visit 3/24/2022. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. In Accordance with California Code of Regulations, Title 22 Physical Plant, Building and Grounds Section 101238(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. Refer to LIC 809-D. LPA discussed Proof of Correction (POC) with Director. Director Estela Padilla Salazar demonstrated that all required actions were taken to correct the violation once discovered. As mentioned earlier director submitted all required licensing forms, supportive documents and plan of correction. 3/24/2022 POC corrected. For more information, go to the California Childhood. Lead Poisoning Prevention Branch\342\200\231s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention LPA Adkins provided technical assistance and discussed wavier for drinking water as outlined in PIN. Exit interview conducted and appeal right explained. This report reviewed with licensee and copy provided. Page 3