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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340300765
Report Date: 04/28/2023
Date Signed: 04/28/2023 10:14:25 AM


Document Has Been Signed on 04/28/2023 10:14 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:WONDER LAND SCHOOLFACILITY NUMBER:
340300765
ADMINISTRATOR:PAULA MARTINEZFACILITY TYPE:
850
ADDRESS:3300 WALNUT AVENUETELEPHONE:
(916) 481-1798
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:70CENSUS: DATE:
04/28/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Kayla GargalikisTIME COMPLETED:
10:25 AM
NARRATIVE
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On April 28, 2023, at approximately 9:20 AM Licensing Program Analyst (LPA) Josiah Gathing met with Director Kayla Gargalikis to conduct an unannounced case management inspection. During today's inspection there were 21 preschool children being supervised by 3 teachers. The purpose of today's inspection was to create a plan of correction following reports of lead exceedance in three of the facility outlets.

On March 3, 2023, the facility tested water samples for lead. Three water outlets sampled indicated an Action Level Exceedance (ALE). These outlets are marked F, H, and I on the facility sketch provided by the center. All three faucets are located near the entrance to the Toddler room. This room has not been in use since late 2021, and the faucets have not recently been used for drinking water. On March 27, 2023 the facility was notified that water levels were in exceedance of 5 parts per billion in the locations that were tested.

Signs have been placed on each outlet in exceedance stating that the outlets should not be used for drinking or food preparation. Director stated that the faucets will be replaced and re-tested for lead level exceedance. LPA received the lead testing map and other required documents from the Director during today's inspection.

A deficiency is cited on the following LIC809-D and the plan of correction was reviewed with the Director, Kayla Gargalikis. A copy of this report and appeal rights were provided to the Director.

SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
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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Document Has Been Signed on 04/28/2023 10:14 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: WONDER LAND SCHOOL
FACILITY NUMBER: 340300765

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/30/2023
Section Cited

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101700.3 ...Lead Action Level... (b) ...(1) If testing indicates an Action Level Exceedance at any water outlet, the water... is deemed not safe to drink and an immediate response... shall be required. This requirement was not met as evidenced by:
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Director will submit a plan to the LPA demonstrating that use of the outlets in question will permanently cease, or the outlets will be replaced. Center will also notify parents about what has been done to date (e.g. signs, plans to replace outlets, etc).
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Based on record review the facility did not comply with the above regulation as the lead action level was exceeded in three water outlets, which poses Health, Safety, or Personal Rights risk to persons 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: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah GathingTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
LIC809 (FAS) - (06/04)
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