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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100403382
Report Date: 01/25/2023
Date Signed: 01/25/2023 01:46:29 PM


Document Has Been Signed on 01/25/2023 01:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:FRESNO EOC SANGER HEAD STARTFACILITY NUMBER:
100403382
ADMINISTRATOR:SAUCEDA, RAMONAFACILITY TYPE:
850
ADDRESS:3037 S. ORCHIDTELEPHONE:
(559) 263-1205
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY:63CENSUS: 43DATE:
01/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:EOC Specialist, Amy VangTIME COMPLETED:
02:30 PM
NARRATIVE
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On 1/25/23 Licensing Program Analysts (LPAs) Caroline Harris and Julie Baptista conducted an unannounced case management inspection. LPAs met with Amy Vang for the purpose of conducting a case management inspection, regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on testing results from Moore Twining, licensee #100403382 has outlets with an (ALE) of 12.0 ppb in the kitchen named outlet A, an (ALE) of 13.0 in the children's sink named outlet H, an (ALE) of 12.0 in the children's faucet named outlet I, an (ALE) of 8.3 in the children's bubbler named outlet J and an (ALE) of 14.0 in the children's fountain named outlet L. These results indicate out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). The outlets have been replaced for A, H, and I and will be re-tested on 2/24/23. Director agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler. Outlets J and L have been permanently made inoperable and will not be in use.
Bottled water is available in the kitchen and the classrooms and bottled water is taken outside along with cups. Potable water is also made available to visitors and staff during hours of operation. Facility has posted results for parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition parents and guardians were notified by letter of the (ALE ) Per PIN 21-21-1 CCP WD 101704 (b)(3).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809 D). Ms. Vang was provided a copy of this report and appeal rights. An exit interview was conducted. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/25/2023 01:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: FRESNO EOC SANGER HEAD START
FACILITY NUMBER: 100403382

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/10/2023
Section Cited

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California’s Action Level for lead in water at Child Care Centers is 5 ppb. Testing 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. Testing results with fractional ppb readings of less than 0.5 ppb shall be rounded down to the nearest whole number, before comparing to the Action Level. (1)
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Three of the outlets in exceedance have been replaced and will be re-tested. Two of the outlets have been permanently made inoperable and will no longer be in use. The facility will re-test on 2/24/23.
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A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required. This requirement was not met evidence by: Based on testing results from Moore Twining, the facility has (ALE's) in 5 different outlets. These results indicate out of compliance over (ALE) 5.5 ppb, which poses a potential health, safety or personal rights risk to persons in care.
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The facility agrees to submit the re-testing results of at or below Action Level by POC due date 03/10/23.

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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: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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