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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600791
Report Date: 10/17/2022
Date Signed: 06/27/2023 09:00:02 AM

Document Has Been Signed on 06/27/2023 09:00 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:MERRY GO ROUND LEARNING CENTER - SCHOOL AGEFACILITY NUMBER:
376600791
ADMINISTRATOR:DUNAWAY, CAREYFACILITY TYPE:
840
ADDRESS:2749 LEMON GROVE AVENUETELEPHONE:
(619) 469-7281
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 28TOTAL ENROLLED CHILDREN: 10CENSUS: 0DATE:
10/17/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Carey Dunaway TIME COMPLETED:
11:30 AM
NARRATIVE
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On 10/17/22 at 8:45 a.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of lead detected in the facility water fixture. LPA met with licensee and director, Carey Dunaway. The purpose of the inspection was explained, and facility was toured. There were no children in care at time of inspection.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every five years after the date of the first testing. LPA obtained copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), and Facility Sketch (LIC999), on August 04, 2022. On 09/29/22 the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW) of an ALE at the facility. The SWRCB report indicated the facility was inspected and samples were collected on August 02, 2022. The outlet/fixture reported with 5.5 ppb or greater lead exceedance level is as follows:

H – Drinking Fountain located in the outdoor patio. Fountain removed from service.

Licensee stated water fountain H located in the outdoor patio area has not been in operation since January 2020 due to COVID-19. Licensee indicated the water for fountain H has been turned off and a sign has been posted reflecting, “Do Not Use”, to ensure the fountain is inaccessible to the children in care. Also, based on observation the water has been turned off for fountain H. Licensee indicated water both indoors and outdoors is available to the children in care by the use of bottled water.

This is an amended version of a report dated 10/17/22.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: MERRY GO ROUND LEARNING CENTER - SCHOOL AGE
FACILITY NUMBER: 376600791
VISIT DATE: 10/17/2022
NARRATIVE
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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.

Exit interview conducted and reports were reviewed with the licensee, Carey Dunaway. A notice of site visit was given and must remain posted for 30 days from today's date.

This is an amended version of a report dated 10/17/22.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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Document Has Been Signed on 06/27/2023 09:00 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/17/2023 07:34 PM


Created By: Martha Malane On 10/12/2022 at 03:18 PM
Link to Parent Document Below:
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: MERRY GO ROUND LEARNING CENTER - SCHOOL AGE
FACILITY NUMBER: 376600791

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/16/2022
Section Cited

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101700.3 California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater..., 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 is not met as evidenced by:
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Based on record review, the licensee did not comply with the directive above, as one outlet (outlet used for drinking) out of two outlets tested with an Action Level Exceedance (ALE). This poses a potential Health and Safety risk to children in care.
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by a certified water sampler and a follow-up water sample must be taken following the protocol in the WD, Section 101705. Licensee stated if the outlet is removed, she will provide pictures reflecting the outlet has been removed. Licensee stated that parents will be notified of the lead exceedances letter. This is an amended version of a report dated 10/17/22.

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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:Tulam Vu
LICENSING EVALUATOR NAME:Martha Malane
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022


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