364830080-12-6-2022-12-CC-BIBE-CLUVF4-20221206152320

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364830080
Report Date: 12/06/2022
Date Signed: 12/06/2022 03:23:30 PM

Document Has Been Signed on 12/06/2022 03:23 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	364830080
ADMINISTRATOR:	BRIANNE HINDMAN		FACILITY TYPE:	850
ADDRESS:	13615 BEAR VALLEY ROAD		TELEPHONE:	(760) 949-8539
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	88	CENSUS: 69	DATE:	12/06/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Jennifer Johnson		TIME COMPLETED:	03:30 PM

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On December 06, 2022, Licensing Program Analysts (LPAs) Babatunde Ibitoye, and Kuliema Calloway, conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA's met with the Director (Jennifer Johnson), discuss the purpose of the inspection and entry was granted. Upon arrival there 69 children observed, and 9 staff present today.

During the inspection, LPA's informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water faucet/drinking fountain fixture K (Kitchen 3-bin sink) located in the Kitchen, the Department was notified of the Action Level Exceedance (ALE), levels at 12 ppb. The SWRCB report listed facility inspected and collected sample on 10/22/2022 lab testing number 22J2555 by Forensic Analytical Consulting Services.

Director provided LPA’s a copy of the water analytical report from Forensic Analytical showing the elevated levels of lead in the water faucet/drinking fountain Fixture K (Kitchen 3-bin sink) located in the Kitchen of the facility.

LPA's advised Director, the water outlets tested with an ALE level at the facility should be inoperable and children should be provided with an alternative water source. Per Director Children are not drinking from the Kitchen outlet, moreover Use of the identified outlets for drinking and food preparation has immediately ceased and removed from service as of 10/22/22 when the facility was informed that the outlets were found to have lead levels above the 5 ppb Action Level , Notification provided, testing results posted at the facility on 11/16/22.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 364830080
	VISIT DATE: 12/06/2022

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LPA,s observed the Identified outlet has being replaced with new outlet in the kitchen area. According to director alternative drinking water sources provided and Drinking water is being provided only from sinks and drinking fountains on site that have been evaluated and confirmed to be below the Action Level for lead. Bottled drinking water will be provided as needed until identified fixtures have been replaced and follow-up testing confirms that levels are below the Action Level for lead. Drinking water is provided from the sinks inside the individual classrooms. In addition, the teachers are using filtered Brita water pitchers to supply water to the children.

Director has submitted written Plan of Correction statement to the Palmdale Regional Office, the remediation of the plan for the outlet Fixture K (Kitchen 3-bin sink)-12 ppb. Also work summary complete ready for lead retesting.

Written proof of lead retest results is requested to be sent to LPA once it is completed.

All parents/guardians of currently enrolled children, were made aware of the lead testing report via Kindercare School app.

No deficiencies cited in accordance with the California Code Regulations Title 22, Division 12 .Because Children are not drinking from the Identified Outlet.

An exit interview was conducted, appeal rights discussed, a copy of Notice of Site Visit, and a copy of this report was provided to Site Director, (Jennifer Johnson) on this date.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC809 (FAS) - (06/04)

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