<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005139
Report Date: 01/31/2023
Date Signed: 01/31/2023 11:15:05 AM


Document Has Been Signed on 01/31/2023 11:15 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
372005139
ADMINISTRATOR:NICOLE JAMESFACILITY TYPE:
850
ADDRESS:819 W. 9TH STREETTELEPHONE:
(760) 745-9215
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:77CENSUS: 25DATE:
01/31/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Nicole James, DirectorTIME COMPLETED:
11:24 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On January 31, 2023 at 10:25 AM, Licensing Program Analyst (LPA) Cindy Hamilton conducted a case management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with Nicole James- Director who was informed the reason for the visit.

During the visit, LPA toured the facility and observed on the report provided by the SWRCB, Faucet B was identified as having high levels of lead. The faucet is located in the faciity's kitchen. Staff stated that the faucet was only used for cleaning and clearing dishes and not for drinking water or food preparation. Director stated kitchen staff was immediately advised not to use Sink B, but the sink was not turned off or labeled not to be used . The faucet has been replaced with non-lead faucet on December 21, 2022 but has yet to be retested. Director was advised the facility is required to have SInk B retested and should not be used until the levels do not exceed. The sink was properly labeled out of order prior to LPA leaving the facility.

See LIC 809 D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12 written directives.

An exit interview was conducted with Nicole James- Director. A copy of this report, appeal rights and a Notice of Site Visit was issued.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023
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 2


Document Has Been Signed on 01/31/2023 11:15 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER, INC
FACILITY NUMBER: 372005139

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/01/2023
Section Cited

1
2
3
4
5
6
7
(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up...(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director stated faucet was replaced, retesting and results are pending. Director will advise CCL when retesting is completed and of results once received.
8
9
10
11
12
13
14
LPA Hamilton received the facilities water testing results for faucets with an Action Level Exceedance higher than the allowable limit.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2