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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005155
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:26:35 AM


Document Has Been Signed on 05/17/2023 11:26 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:MESA COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
372005155
ADMINISTRATOR:IDA CROSSFACILITY TYPE:
850
ADDRESS:7250 MESA COLLEGE DRIVETELEPHONE:
(619) 388-2812
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:66CENSUS: 30DATE:
05/17/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director, Ida Cross TIME COMPLETED:
11:45 AM
NARRATIVE
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On 05/17/2023, Licensing Program Analyst (LPA) Jennifer Lott conducted an unannounced Case Management visit for reported Lead Exceedance. LPA was greeted at the front of the facility by Director, Ida Cross and granted entry after identifying herself and disclosing the purpose of her visit. Present in the facility were 30 day care children and 8 teachers/2 aides were present. Faciltiy was within ratio and capacity. LPA interviewed staff and examined the faucets deemed an Action Level Exceedance. Facility provided the required forms (LIC 9275/9276) to the Department on 08/03/2022.

Faucets reported with 5.5ppb or greater lead exceedance levels were as follows:
Classroom #107 "C" - Cold Water - 6.13ppb
Classroom #109 "A" - Cold Water - 9.44ppb

Director reported all faucets in exceedance were replaced and flushed 4 times a day for 3 weeks before having them tested again. Prior to replacement, all sinks identified had been shut off and made inaccessible. The facility has been providing bottled drinking water for over ten (10) years to its staff and students. The sinks that had been tested were used for hand washing only and not for drinking or food preparation.

Exit interview conducted and report was reviewed with Director, Ida Cross. A copy of PIN 21-21-CCP was provided. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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 05/17/2023 11:26 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: MESA COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 372005155

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/18/2023
Section Cited

101700.3(b)(1)

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A result with 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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Licensee states that the sinks that tested in exceedance were made inoperable. The sink faucets have since been replaced, flushed and retested on 11/30/22. Sinks are now within the required limits.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level at 2 classroom sinks. This poses a potential health & safety risk to children 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: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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