376600596-11-30-2023-51-CC-GCUS-CY3P8G-20231130100531

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600596
Report Date: 11/30/2023
Date Signed: 11/30/2023 10:05:39 AM

Document Has Been Signed on 11/30/2023 10:05 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:	NOAH'S PARK PRESCHOOL & DAY CARE		FACILITY NUMBER:	376600596
ADMINISTRATOR:	TAMMY WALKER		FACILITY TYPE:	850
ADDRESS:	855 EAST BARHAM DRIVE		TELEPHONE:	(760) 761-4782
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	60	CENSUS: 9	DATE:	11/30/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Tammy Walker		TIME COMPLETED:	10:20 AM

NARRATIVE

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On November 30, 2023 at 8:20 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced Case Management inspection, for reported Lead Exceedance. Upon arrival LPA met with staff member Deborah Kentner. Also present in the facility were 9 daycare children and one other staff member. Facility was within ratio & capacity. Director Tammy Walker arrived at the facility at approximately 8:39 a.m. Staff members have the required background clearances and are associated to the facility. LPA interviewed the licensee and examined the faucets and drinking fountains deemed an Action Level Exceedance. Facility provided facility sketch and required forms (LIC 9275/9276) to Department on August 30, 2023 via email.

Faucets and drinking fountains reported with 5.5 ppb or greater lead exceedance levels were as follows:

Kitchen Sink Faucet-Sample Site A 6.2 ppb

The director states that the kitchen faucet in exceedance has not been repaired or replaced because it is not used by the staff or children for food preparation or drinking, at any time. The facility provides bottled water for the children and maintains approximately 8, 1-gallon bottles of water on site at all times to refill the children’s water bottles. The director states that she refills the 1-gallon water bottles as necessary, and she has enough staff on site to remain in ratio when she has to leave the facility to obtain additional water. The director states that the drinking fountain located between the T.V. room and the lunchroom was not tested. The director states that she thought the drinking fountain was not working. LPA and Director turned on the drinking fountain and observed that it is fully functioning. LPA advised Director that the drinking fountain should have been, and will need to be tested. The director also states that the water fountain is not used, and they plan on removing the drinking fountain. During the inspection Director Walker turned off the water to the drinking fountain and placed a sealed bag over the fountain.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NOAH'S PARK PRESCHOOL & DAY CARE	FACILITY NUMBER: 376600596
	VISIT DATE: 11/30/2023

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The director states that children bring lunch from home. The facility provides snacks. Any fruit consumed is washed using bottled water. All staff have been informed not to use the kitchen faucet for drinking water or food preparation. LPA observed that the kitchen is inaccessible to children. The director understands that if she plans or expects to begin using the kitchen faucet for food preparation or drinking water the lead level in the water must be remediated and Community Care Licensing Regional Office must be notified prior to its use.

See LIC809D for cited deficiencies. A civil penalty has been assessed.

Exit interview conducted and report was reviewed with Director Tammy Walker. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/30/2023 10:05 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: NOAH'S PARK PRESCHOOL & DAY CARE	FACILITY NUMBER: 376600596
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/30/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/30/2023 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	101700.3(b)(1) Written Directives: 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:	1 2 3 4 5 6 7	The director states that staff do not use the kitchen faucet for food preparation or drinking. The facility provides bottled water for the children and maintains approximately 8, 1-gallon bottles of water on site at all times to refill the children’s water bottles. Deficiency has been cleared.
	8 9 10 11 12 13 14	Based on water testing results and director statement, licensee failed to maintain a lead value at or below the Action Level for water lead testing of 5.5 ppb or greater for the kitchen faucet, sample site A. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink.	8 9 10 11 12 13 14
Type B 12/08/2023 Section Cited HSC1597.16(a)(1)	1 2 3 4 5 6 7	1597.16(a)(1): A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023...This requirement is not met as evidenced by:	1 2 3 4 5 6 7	The director made the drinking fountain inaccessible at the time of inspection. The director states that she will have the drinking fountain removed and she will send LPA a photograph of the sink with the drinking fountain removed via email by 12/08/23.
	8 9 10 11 12 13 14	Based on observation and director statement, the licensee did not comply with the section cited above. The drinking fountain located between the T.V. room and lunchroom has not been tested for lead. This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14

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 Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC809 (FAS) - (06/04)

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