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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603020
Report Date: 01/13/2023
Date Signed: 01/13/2023 02:40:39 PM


Document Has Been Signed on 01/13/2023 02:40 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:KINDERCARE LEARNING CENTER - PURSLANE (SA)FACILITY NUMBER:
343603020
ADMINISTRATOR:DEETS, PAMELAFACILITY TYPE:
840
ADDRESS:6825 PURSLANE WAYTELEPHONE:
(916) 723-9696
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:28CENSUS: 0DATE:
01/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lucille VargasTIME COMPLETED:
02:50 PM
NARRATIVE
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On Friday, January 13, 2023 Licensing Program Analyst (LPA) Lea Habtom arrived at Kindercare for an unannounced case management visit. There were no school age children present during today's visit. LPA L. Habtom met with Director Pamela Nasca and Assistant director Lucille Vargas to address the lead level results in exceedance of 5 parts per billion for 6 faucets in the kitchen, school age & preschool classrooms. Assistant director Lucille states prior to receiving the results the faucets were used as a drinking source. Once the assistant director was made aware of the level exceedance all the faucet fixtures were replaced and each classrooms were provided with water jugs with spickets. The faucets in the classrooms are only used to wash hands. The faucet in the kitchen was replaced and covered until second sampling clears the faucet. The facility is waiting for a return visit to test the water source after replacing the faucets. Lucille will keep LPA L. Habtom informed of the outcome, time frame and work needed in order to be in compliance with the lead levels. Director was notified to only use water faucets at the center to wash hands.

Report was reviewed with director Pamela Nasca. Title 22 regulations were cited on 809-D. Notice of site visit provided and appeal rights.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
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 01/13/2023 02:40 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: KINDERCARE LEARNING CENTER - PURSLANE (SA)
FACILITY NUMBER: 343603020

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/13/2023
Section Cited

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Written Directives 100700.3(b): b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. Testing results with fractional ppb readings of less than 0.5 ppb shall be rounded down to the nearest
whole number, before comparing to the Action Level.
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The facility replaced all faucets, covered the kitchen sink faucet and provided water jugs with water spickets for drinking. All faucets in the classrooms are only being used to wash hands. Facility will have all faucets retested and will provide LPA L. Habtom with results.
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This requirement was not met as evidenced by: 6 faucets that tested for lead over the approved amount of 0.5 ppb which is a potential risk to the health and safety of children.
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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: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
LIC809 (FAS) - (06/04)
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