Follow-up·May 19, 2022

Licensing Program Analyst Carmen Odom conducted an unannounced Case Management visit. LPA met with Director, Alysha Hund to discuss the Lead Sampling Testing conducted on 04/23/22. Director was advised on 05/16/22 that the Lead Sample Report was to be posted. LPA confirmed that Director had posted the Lead Sample Report. Director stated the outlet with high levels of Lead are inoperable. They have made the drinking faucet/outlet that tested with high levels of Lead inoperable via plastic bag wrapped around the drinking faucet, tapped all around and a sign \342\200\234do not use\342\200\235. The outlet is in room#2 temporarily closed off until the they replace the drinking faucet. Source of drinking water is 6 \342\200\234Brita\342\200\235 water pitchers that have built-in filters, the pitchers are refilled from outlets that tested negative for Lead. Director stated they have ordered the replacement faucet, when the replacement faucet arrives they will have it retested for Lead. Based on LPAs record reviews the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D. Exit interview conducted and report was reviewed with the facility representative Alysha Hund. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above