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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600349
Report Date: 02/02/2023
Date Signed: 02/02/2023 12:27:14 PM


Document Has Been Signed on 02/02/2023 12:27 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE S. CENTRE CITY PARKWAY SCHOOL AGEFACILITY NUMBER:
376600349
ADMINISTRATOR:AMY BOWMANFACILITY TYPE:
840
ADDRESS:2415 S. CENTRE CITY PARKWAYTELEPHONE:
(760) 745-2474
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:48CENSUS: 0DATE:
02/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Amy Bowman, DirectorTIME COMPLETED:
12:30 PM
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On February 2, 2023 at 9:55 a.m., Licensing Program Analyst (LPA) Cindy Hamilton made an unannounced Case Management inspection, for reported Lead Exceedance. LPA met with Director, Amy Bowman and proceeded to tour the facility. Also present in the facility were 67 daycare children and 6 teachers/staff. Facility was within ratio & capacity. Staff members have the required background clearances.

LPA interviewed the director and examined the faucets and drinking fountains deemed an Action Level Exceedance. Facility provided facility sketch and plan of correction via email on 11/30/22. The required signed and dated forms (LIC 9275/9276), were submitted to Community Care Licensing via email.

Faucets and drinking fountains reported with 5.5 ppb or greater lead exceedance levels were as follows:
Unit M - faucet located in school-age classroom - 7.8 ppb

All other fountains and water outlets tested within an acceptable level with no lead exceedance. Parents were notified verbally and via the parent communication board where the results are posted. The director reported that all faucets in exceedance (Unit M) was discontinued from use and bagged on 11/29/2022. . At time of inspection LPA observed that the faucet (Unit M) was properly bagged and sign posted to not use. Director stated that facility was advised by water sampler that this faucet must be flushed for a four week period prior to retesting. The four week flush was completed on December 22, 2022. The director states that Sparkletts bottles drinking water is available throughout the facility. The director states that staff will fill a water pitcher using the Sparkletts water to refill the children's water bottles throughout the day.

See LIC809D cited deficiencies.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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 3


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: KINDERCARE S. CENTRE CITY PARKWAY SCHOOL AGE
FACILITY NUMBER: 376600349
VISIT DATE: 02/02/2023
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LPA Hamilton informed Director Bowman that this report dated 02/02/2023 documents one Type B citation. A Type B citation(s) as there is an potential risk(s) to the health, safety, or personal rights of children in care. LPA Hamilton advised Director that a new facility sketch (LIC 999) is needed identifying only faucets/fountains used for food preparation or drinking and resubmit External Water Sampler Self-Certification Form (LIC 9275) and Child Care Center Sampling Checklist Form (LIC 9276) once retesting is completed.

Exit interview conducted and report was reviewed with Director Amy Bowman. A notice of site visit and appeal rights were given. Director was reminded that notice of site visit must remain posted for 30 days and notice was posted by Director Bowan prior to LPA leaving the facility.

SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/02/2023 12:27 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: KINDERCARE S. CENTRE CITY PARKWAY SCHOOL AGE
FACILITY NUMBER: 376600349

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2023
Section Cited

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101700.3(b)(1) 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 Action Level Exceedance. This requirement was not met as evidenced by:
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Director stated all faucets/fountains have been replaced and facility is in the process of scheduling retesting. Director will submit new facility sketch, LIC 9275, LIC 9276 and results of retests to LPA Hamilton.
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LPA Hamilton received water testing results taken on 10/08/2022 with an Action Level Exceedance which is higher than the allowable limit. The faucet is located in school-age classroom.
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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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3