Lead safety check·March 7, 2023

Licensing Program Analyst (LPA), Kassandra Medrano, conducted an unannounced case management inspection in response to a completed lead testing on 12/12/2022 which resulted in two action level exceedances within the facility of 11 ppb and 10 ppb. LPA met with the Regional Director (RD), Jamie Ferguson, and explained the nature of today's inspection. Prior to today’s inspection, Community Care Licensing received notification of the lead exceedances by the water program. Preceding the arrival of LPA Medrano, both the fountains that have been found in exceedance have been taped off and are not being used. Facility is using filtered Brita water for their only source of drinking water and children use their own individual drinking cups/bottles. The water sample conducted by California Rural Water Association (CRWA) on 12/12/2022, indicated the following: 1) Water bubbler and sink named "C" located in room 14 has Lead Action Level Exceedance value of 11 ppb. 2) Water bubbler and sink named "E" located in room 12 has Lead Action Level Exceedance of 10 ppb. LPA has requested the following documents during today’s inspection RD to send via email: 1.Self-Certification (LIC9275) 2.Sampling Checklist Form (LIC9276) 3.Facility Sketch LIC 999 (fully labeled with locations of all water outlets) 4. Full lead report from water program Type B deficiency was cited, exit interview conducted, and a copy of this report was given and reviewed with the Facility Representative, Jamie Ferguson. Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.