197403510-1-26-2023-12-CC-JTAO-CNFQE4-20230126110543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197403510
Report Date: 01/26/2023
Date Signed: 01/26/2023 11:05:50 AM

Document Has Been Signed on 01/26/2023 11:05 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	197403510
ADMINISTRATOR:	LORETTA PILAFAS		FACILITY TYPE:	830
ADDRESS:	43536 22ND STREET WEST		TELEPHONE:	(661) 948-3570
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93536
CAPACITY:	32	CENSUS: 0	DATE:	01/26/2023
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Loretta Pilafas, Director		TIME COMPLETED:	11:10 PM

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On 01/26/23, Licensing Program Analyst (LPA) Justeene Tamayo conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Tamayo met with the Director Loretta Pilafas. The purpose of the inspection was disclosed, and entry was granted. The fixture tested that is currently over the lead exceedance is currently on the wrong license number. The fixture should be labeled on the school age license 197403509. Upon arrival LPA observed 0 school age children in care.

During the inspection, LPA informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water in the School Age playground bubbler. The Department was notified of the Action Level Exceedance (ALE), levels for the school age playground bubbler (Sample I) 7.6 UG/L. The SWRCB report sample listed facility inspected and collected sample on 12/03/22. Results were provided to facility on 12/27/22. Lab Job Number: 01051

Director notified LPA Tamayo within the required timeline.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 197403510
	VISIT DATE: 01/26/2023

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LPA advised Director, all water outlets tested with an ALE at the facility should be placed as out of service.

Per Director, sample I has never been used and is off limits to school age children. The facility uses filtered water to drink through the Brita water system and center has never used the playground bubbler. Director has put the construction cone for inaccessibility to children present. The bubbler is located on the side of the center by the side gate. Per director, school age children are not allowed to have access to the side of the center due to visibility. The Director has notified parents of the lead exceedance and provided a letter to the families of the children enrolled.

The fixture is currently brand new. The Director will retest water for lead and notify LPA of results after 3 weeks (21 day). Director is aware the lead levels shall not exceed 5.00 UG/L

Per Director, the fixture is currently being flushed 30 seconds, four times a day for 3 weeks. The Director is aware the fixture must be retested for lead after the 3 week period and results must be sent to LPA Tamayo.

No deficiencies have been cited at this time.

An exit interview was conducted and a copy of this report was provided,along with a Notice of Site Visit and appeal rights to Director Loretta Pilafas.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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