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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213002280
Report Date: 10/02/2023
Date Signed: 10/02/2023 02:39:48 PM


Document Has Been Signed on 10/02/2023 02:39 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:CORTE MADERA MONTESSORIFACILITY NUMBER:
213002280
ADMINISTRATOR:WEASLER, SHARRALYNFACILITY TYPE:
850
ADDRESS:50 EL CAMINO DRIVETELEPHONE:
(415) 927-0919
CITY:CORTE MADERASTATE: CAZIP CODE:
94925
CAPACITY:75CENSUS: 48DATE:
10/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Sharralyn WeaslerTIME COMPLETED:
02:50 PM
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On 10/2/23 at approximately 1:50 PM, Licensing Program Analysts (LPAs) Nathan Garcia and Jonathan Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPAs met with the director, Sharralyn Weasler and executive director, Daniel Sapien. LPAs explained the purpose of the visits and was given a tour of the facility.
Present in facility are 48 children, present with 8 staff members.

LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

The facility received the ALE report from the Vendor on 09/07/2022. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture D (21) has been replaced on 1/20/2023 and the facility got retested on 4/19/23. LPAs reviewed the results for fixture D and it shows below the 5ppb of lead. The facility is using other sources of water, sinks that passed the tests, for food preparation and water ingestion. Upon arrival of LPAs, the facility's affected fixture had been replaced and retested with results within the allowable threshold. The fixture is now cleared to be utilized for ingestion or used for food preparation.

LPAs obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999) through email.

No Deficiencies cited under Title 22 of California Code of Regulations.

This report was reviewed and signed by Executive Director, Daniel Sapien.

This report and notice of Site visit and appeal rights were provided to the licensee and must remain posted for 30 days.

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan GarciaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2023
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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