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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603020
Report Date: 05/01/2023
Date Signed: 05/03/2023 10:18:54 AM


Document Has Been Signed on 05/03/2023 10:18 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
RIVER CITY (SACTO)CC, 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:
05/01/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Lucia VargasTIME COMPLETED:
10:40 AM
NARRATIVE
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Licensing Program Analyst (LPA) Michelle Pascual met with acting Director, Lucia Vargas to conduct an unannounced case management inspection regarding lead testing. During today's inspection there was a census of 0 school-aged children. The purpose of today's inspection was to create a plan of correction following reports of lead exceedance in a few of the facility outlets.

On 03/31/2023, the facility tested water samples for lead. The lead testing identified that three water outlets have lead exceedance over the amount of 5.5ppb. The water outlet sampled is identified as letter, E and is the school aged faucet in the kinder room. The measure of the lead was9.82 ppb.

Usage of the faucet was stopped immediately, with water being turned completely off rendering the faucet inaccessible, upon receiving the results. Water jugs are being utilized as a source of water and alternate water faucets are utilized for hand washing. The school will have their maintenance worker turn on the water in the morning, to flush it out, and than turn it back off. A work request was sent to Kindercare administration to have the faucets fixed and/or replaced. Once work is completed, the faucets will be retested and facility will inform LPA of results prior to turning water back on and utilizing the faucet.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023
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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KINDERCARE LEARNING CENTER - PURSLANE (SA)
FACILITY NUMBER: 343603020
VISIT DATE: 05/01/2023
NARRATIVE
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Deficiencies are cited in the report and are considered a potential threat to the health and safety of children in care, if not corrected.

An exit interview was conducted with the Director. LPA provided Director with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days along with the lead results for parental review
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/03/2023 10:18 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
RIVER CITY (SACTO)CC, 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: 05/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2023
Section Cited

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California Lead Action Level at Child Care Centers (b) Testing results with ... (1) A ... values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:
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Director has had all water completely turned off at the faucet with lead exceedance. A workorder has been submitted to Kindercare Admin, for replacing/fixing the faucet. Director will retest faucet once work is completed and notify LPA prior to utilizing the faucet.
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Based on record review, one water outlet tested exceeded the allowed 5.5 ppb, which poses/posed a potential 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: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3