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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600332
Report Date: 09/13/2023
Date Signed: 09/13/2023 09:56:57 AM


Document Has Been Signed on 09/13/2023 09:56 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE COLLEGE PRESCHOOLFACILITY NUMBER:
376600332
ADMINISTRATOR:AUNICA DEFALCOFACILITY TYPE:
850
ADDRESS:3536 COLLEGE BLVD.TELEPHONE:
(760) 940-2008
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:92CENSUS: 32DATE:
09/13/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Wilma CabreraTIME COMPLETED:
10:05 AM
NARRATIVE
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On September 13th, 2023 at 8:10AM, Licensing Program Analyst (LPA) Keely Messerschmidt, made an unannounced Case Management inspection, for reported Lead Exceedance. LPA met with Assistant Director Wilma Cabrera proceeded to tour the facility. Also present in the facility were 32 day-care children and 3 teachers/staff. Facility was within ratio & capacity. LPA Keely Messerschmidt interviewed the Assistant Director, staff and examined the faucet deemed an Action Level Exceedance. During inspection facility provided LPA Messerschmidt with facility sketch, the required signed and dated forms (LIC 9275/9276), lead testing results and photo of faucet H located in Room 6.

Label H: Faucet reported with 6.9 ppb or greater lead exceedance levels were as follows:

1 faucet identified as having high levels of lead. The faucet was located near the entrance of the classroom in Pre-K class Room 6. The faucet has a sign posted on the mirror saying "Do not use", currently water source is turned on. LPA interviewed 1 teacher and 3 children and it was disclosed that they only wash their hands in the bathroom because that sink is dirty. LPA Messerschmidt was informed that the faucet has not been used by anyone and placed out of service until fixed. LPA requested that Assistant Director cover faucet as well as having the sign posted, making water inaccessible to children. Children bring their own water bottles daily to the facility and classroom has a Brita water pitcher to provide filtered water.

Based on records review and information received, and current policies and procedures for the Department, the facility is being cited for having a lead exceedance in faucet labeled letter H, under the Written Directives, Section 101700.3 (b) (1) California Lead Action Level at Child Care Centers. This poses a potential health, safety, or personal rights risk to the children in care.

An exit interview was conducted, a copy of this report, 809D and appeal rights were handed to facility Assistant Director, Wilma Cabrera. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely MesserschmidtTELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2023
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 09/13/2023 09:56 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: KINDERCARE COLLEGE PRESCHOOL

FACILITY NUMBER: 376600332

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2023
Section Cited
HSC
101700.3(b)(1)

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California Lead Action Level at Child Care Centers(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an :
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Assistant Director Wilma Cabrera, agreed to make faucet inaccessible to children, staff and visitors in care until the SWRCB comes back to the facility to retest the faucet and is fixed. Once retested Mrs Cabrera agrees to submit report to LPA within 24 hours of receiving the report.
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Action Level Exceedance. This requirement was not met as evidenced by, based on records review and interviews, facility tested over the Action Level Exceedance at 6.9, in one faucet in Rm6. This poses a potential health, safety, or personal rights risk to the children in care.
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Assistant Director confirmed with LPA that children are using the faucets in the bathroom for hand washing instead of faucet labeled H with lead exceedence until fixed.

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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: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely MesserschmidtTELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2023
LIC809 (FAS) - (06/04)
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