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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700061
Report Date: 04/14/2023
Date Signed: 04/26/2023 11:02:18 AM


Document Has Been Signed on 04/26/2023 11:02 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 04/25/2023 10:08 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

NARRATIVE
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On April 14, 2023 at 11:20 AM, Licensing Program Analyst (LPA) Courtnee Peebles, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with Director Patricia Villacana, who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers constructed before January 1, 2010, to test their drinking and cooking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. LPA observed on the report provided by the SWRCB the sink drinking faucet A, B and kitchen sink E identified as having high levels of lead.

Faucet A had a drinking fountain attached and is located in classroom A with a lead exceedance of 19.50 bbp Director Patricia Villacana told LPA that the classroom is no longer in use, no children are ever to be in that room. The faucet has since been removed and no longer in use. The Director stated faucet A will be permanently off due to the classroom being inactive.

Faucet B had a drinking fountain attached and is located in classroom B with a lead exceedance of 23.00 bbp. Director Patricia Villcana told LPA that the faucet is only used for hand washing and there is no food preparation or drinking from this faucet and since the drinking fountain has also been removed. The director stated that this specific sink has always only been used for hand washing and the drinking fountain that was attached has been removed.

Faucet E is located in the kitchen 5.16 bbp. Director Patricia Villacana told LPA that the faucet was not used for food preparation or drinking water. Director states sink was never used, but has since been replaced and is currently being flushed four times a day and will be retested when the flushing process is completed.

The facility is being cited. See LIC 809-D for the cited deficiency in accordance with the California Code of Regulations Title 22, Division 12 written directives.

An exit interview was conducted with Patricia Villacana. A copy of this report, appeal rights and a Notice of Site Visit was issued.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2023
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 04/14/2023 12:05 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: MAAC PROJECT HEAD START NORTH COAST
FACILITY NUMBER: 376700061

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/14/2023
Section Cited

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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 Action Level Exceedance. This requirement was not met as evidenced by:
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Director stated the faucet A is not in use and faucet B is used solely for hand washing and faucet E has been replaced and will be retested after the flushing process completed. Director will provide retest results to LPA.
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LPA Peebles received the facilities water testing results taken on 02/03/2023 for Sink Faucet A in classroom A, Faucet B in classroom B and faucet E in the kitchen with an Action Level Exceedance higher than the allowable limit.
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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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:
DATE: 04/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2023
LIC809 (FAS) - (06/04)
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