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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843983
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:22:51 PM


Document Has Been Signed on 01/12/2023 12:22 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:STEPPING STONES PRESCHOOL AND CHILD CARE LLCFACILITY NUMBER:
334843983
ADMINISTRATOR:DESI ANDREWSFACILITY TYPE:
850
ADDRESS:16527 LAKESHORE DRIVETELEPHONE:
(951) 674-5520
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:85CENSUS: 29DATE:
01/12/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Desi AndrewsTIME COMPLETED:
12:40 PM
NARRATIVE
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On January 12, 2023, Licensing Program Analyst (LPA) Lorena Valenzuela made an unannounced Case Management inspection, for reported Lead Exceedance in the facility’s water. LPA met with Director, Desi Andrews and proceeded to tour the facility. Also present in the facility were 29 daycare children and 5 teachers/staff. Facility was within ratio and capacity. Staff members have the required background clearances.

At the time of the inspection, LPA interviewed the director and four staff and examined the faucet deemed an Action Level Exceedance.

On 01/05/2023, the facility provided the Department with facility sketch with labeled water outlets, signed and dated External Water Sampler Self- Certification (LIC 9275) and Child Care Sampling Checklist (LIC 9276) forms along with other documents provided by the external water sampler.

Per records review, the facility had the water sampled for lead on 12/03/2022. Based on the water sample taken on 12/03/2022, water outlet reported 5.5 ppb (parts per billion) or greater lead exceedance levels as follows:

Water outlet/sink faucet labeled letter “A” located in the kitchen 6.0 ppb

All other fountains and water outlets tested within an acceptable level with no lead exceedance. Parents were notified via the parent communication board where the results are posted and a letter was also provided to parents. LPA observed water outlet labeled letter A to be covered in a plastic bag. Staff interviews revealed they were advised to not use sink/water outlet labeled A after water test results were received. Staff interviews revealed the water outlet/sink in the kitchen labeled letter A was being used to provide drinking water and to wash dishes/containers and utensils used to serve the children snacks such as canned fruit. Director stated she is currently in the process of following the flushing procedures and expects to have water outlet letter A retested on 01/21/2023.

SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023
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 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: STEPPING STONES PRESCHOOL AND CHILD CARE LLC
FACILITY NUMBER: 334843983
VISIT DATE: 01/12/2023
NARRATIVE
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The director states that drinking water for children is available throughout the facility using the sinks in each classroom and outdoor water fountains for drinking water. The director states most children bring their own container with water and containers are refilled as needed throughout the day.

Based on records review and information received, and current policies and procedures for the Department, the facility is being cited for having a lead exceedance in water outlet labeled letter A, under the Written Directives, Section 101700.3 (b) (1) California Lead Action Level at Child Care Centers. This poses a potential health, safety, or personal rights risk to the children in care.

See deficiency report, LIC809D for deficiency issued.

Exit interview conducted and report was reviewed with Director Desi Andrews. A notice of site visit was given and must remain posted for 30 days. LPA observed Director Desi Andrews post notice of site visit.

SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/12/2023 12:22 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: STEPPING STONES PRESCHOOL AND CHILD CARE LLC
FACILITY NUMBER: 334843983

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2023
Section Cited

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101700.3 (b) (1) Written Directives...A result
with values of 5.5 ppb or greater shall be
deemed an Action Level Exceedance.
This requirement was not met as evidence by:
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Director agrees to submit results of the water
sample test that is scheduled to
occur on 01/21/2023, director will submit updates to the Department until water test results under Action Level excedance.
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Based on water testing results, interviews and records review, facility tested over the Action Level Exceedance, water outlet (located in kitchen) labeled A which is used for drinking water for washing dishes. This poses a potential health, safety, or personal rights risk
to the children in care.
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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: Stephanie HudakTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lorena ValenzuelaTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023
LIC809 (FAS) - (06/04)
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