304270927-10-11-2022-06-CC-DTHN-CK4P26-20221011105524

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270927
Report Date: 10/11/2022
Date Signed: 10/11/2022 10:55:45 AM

Document Has Been Signed on 10/11/2022 10:55 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	IUSD EARLY CHILDHOOD LEARNING CENTER		FACILITY NUMBER:	304270927
ADMINISTRATOR:	MARIANA BOSCH		FACILITY TYPE:	850
ADDRESS:	ONE SMOKETREE		TELEPHONE:	(949) 936-5890
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	200	CENSUS: 106	DATE:	10/11/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Mariana Bosch		TIME COMPLETED:	11:10 AM

NARRATIVE

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Licensing Program Analyst (LPA), Thompson conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 05/21/2022. LPA met with Director, Mariana Bosch, who was explained the reason for today’s visit. LPA observed 106 preschool children in care.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 05/21/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE).

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.

Facility staff was advised on 09/27/2022 that the Lead Sample Report was to be posted. LPA observed the facility had posted the Lead Sample Report.

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SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IUSD EARLY CHILDHOOD LEARNING CENTER	FACILITY NUMBER: 304270927
	VISIT DATE: 10/11/2022

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On 09/27/22 LPA spoke with Director, Mariana Bosch who stated 6 out of 7 outlets that had ALE over 5.0 had been made inaccessible and repaired. Site ID E is the only site that is currently under repair and is covered with a sign that reads “DO NOT USE”. Site ID E is a sink that had level of 6.9, located inside pod #5 on the left side. Children in care bring water bottles from home. Facility also provides water for children in care from passed drinking faucets..

Based on LPAs Director interview, review of facility sketch and walk-through, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101700.3 California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.

Exit interview conducted with Director Mariana Bosch. The report was reviewed and discussed. Appeal Rights were discussed. Director was provided copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days.

Director was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/11/2022 10:55 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IUSD EARLY CHILDHOOD LEARNING CENTER	FACILITY NUMBER: 304270927
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/11/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 11/11/2022 Section Cited	1 2 3 4 5 6 7	101700.3 California Lead Action Level at Child Care Centers (b) Testing results with fractional ppb readings of 5.0 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.	1 2 3 4 5 6 7	Director made site ID E inoperable by means of a sign that reads "Do Not Use" and covering the outlet. Director stated outlet E was last tested on Friday, October 7, 2022 and are awaiting test results. Director will provide proof of repairst and re-sampled documentation via email by 11/11/2022.
	8 9 10 11 12 13 14	Based on lab report analysis water from outlets E (6.9 parts per billion), Outlet HH (8.8 parts per billion), Outlet II (10.0 parts per billion), Outlet J (5.6 parts per billion), Outlet JJ (14.0 parts per billion), Outlet P (12.0 parts per billion). Outlet samples were taken on 05/21/2022 indicate levels of lead in exceedance.	8 9 10 11 12 13 14	Filtered water pitchers from the other PASS sinks, along with individual bottle waters readily available for the staff and children.
	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: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

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