<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808924
Report Date: 11/03/2023
Date Signed: 11/03/2023 11:12:54 AM


Document Has Been Signed on 11/03/2023 11:12 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:DANIELSON HEAD STARTFACILITY NUMBER:
243808924
ADMINISTRATOR:LAWRENCE, RENEEFACILITY TYPE:
850
ADDRESS:1235 N STTELEPHONE:
(209) 381-5170
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY:55CENSUS: 28DATE:
11/03/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Elizabeth McGowanTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/03/2023 Licensing Program Analysts (LPAs) Yesenia Fierro and Erica Pacheco conducted an unannounced case management inspection. LPAs met with Site Supervisor Elizabeth McGowan. The purpose of today’s inspection was to conduct a case management inspection and to notify the facility that there has been 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. LPAs conducted a tour of the facility inside and out and a census was taken.

Fresno North Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from Dellavalle and discussions with Site Supervisor Elizabeth McGowan it has been determined that there is an exceedance to outlet 243 808 924D which is located inside classroom B kitchen.

243 808 924D was observed to be inside Classroom B kitchen faucet that was impacted with amount of lead 15.00 (ALE) of lead. Outlet has been discontinued by being capped off and is no longer in service.

(See plan of correction for further corrective action 809D). Site Supervisor stated Health Manager Erica Peterson has notify authorized representatives of this corrective action in both languages, English and Spanish to all parents via a letter.



Facility will continue to provide water to the children in care from Alhambra water service.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited. Site Supervisor Elizabeth McGowan were provided a copy of the appeal rights. An exit interview was conducted with Elizabeth McGowan.

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: Rene MancinasTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia FierroTELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 11/03/2023 11:12 AM - 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: DANIELSON HEAD START
FACILITY NUMBER: 243808924

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2023
Section Cited

101700.3

1
2
3
4
5
6
7
(a)California’s Action Level for lead in water at Child Care Centers is 5ppb.(b) Testing results with fractional ppb readings of 0.5ppb or greater shall be rounded up..., before comparing to the Action Level. (1) A result with values of 5.5ppb...Action Level Exceedance. (c) If testing indicates an Action Level
1
2
3
4
5
6
7
LPA observed faucet has been removed and capped off. Site Supervisor Elizabeth McGowan confirmed children will continue to receive water from Alhambra bottle services to provide drinking water to children in care. POC has been completed in July 2023.
8
9
10
11
12
13
14
Exceedance at any water outlet...This requirement was not met by evidence by: Based on record review provided by Dellavalle outlet 243808924 D in classroom B kitchen sink had a lead exceedance of 15.0.Which is out of compliance over the allowable ALE 5.5ppb. This poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Rene MancinasTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia FierroTELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2