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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600032
Report Date: 09/18/2023
Date Signed: 09/18/2023 03:35:41 PM


Document Has Been Signed on 09/18/2023 03:35 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:LA JOLLA VILLAGE MONTESSORI SCHOOLFACILITY NUMBER:
376600032
ADMINISTRATOR:JOANNE O'NEILFACILITY TYPE:
850
ADDRESS:7427 FAY AVENUETELEPHONE:
(858) 454-1811
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:42CENSUS: 23DATE:
09/18/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Joanne O'neilTIME COMPLETED:
12:50 PM
NARRATIVE
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On 09/18/2023 at 11:30am, Licensing Program Analysts (LPAs), Selina Siao and Sherlynn Banas conducted an unannounced case management inspection for the Action Level Exceedance (ALE) of lead detected in facility water fixture. LPAs met with licensee/Director Joanne O'neil and conducted a tour of the facility. The purpose of the inspection was explained and facility was toured. Present in facility were 23 children supervised 5 staff members.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

LPA obtained copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276) and Facility Sketch (LIC999) on 07/13/2023.



On 05/19/2023 the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 05/04/2023. The outlets/fixtures reported with 5.5 ppb or greater lead exceedance levels is as follows:

B – Drinking fountain located at the playground.

Facility no longer utilizes the drinking fountain located in the playground. Facility turned off the water at the drinking fountain which is confirmed during today's inspection. Facility currently uses the kitchen sink water to refill the children's water bottle as needed. Licensee stated that she will not use the water fountain until it get retested and be free of lead. See LIC809C continuation...
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LA JOLLA VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376600032
VISIT DATE: 09/18/2023
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Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

See LIC809D for type B citation issue.



Exit interview conducted and report was reviewed with facility representative. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/18/2023 03:35 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: LA JOLLA VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376600032

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/19/2023
Section Cited
CCR
101700.3(b)(1)

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California Lead Action Level at Child Care Centers:
Licensee failed to maintain a lead value at or below the Action Level for water lead testing resulting with values of 5.5 ppb or greater for the water sample site B- drinking fountain located at the playground.
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Facility has shut off the water at the drinking fountain located at the playground after obtaining the result to ensure the safety of the children.
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Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink.
This poses a potential health and 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) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2023
LIC809 (FAS) - (06/04)
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