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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700213
Report Date: 01/24/2023
Date Signed: 01/25/2023 09:12:29 AM


Document Has Been Signed on 01/25/2023 09:12 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:SORRENTO VALLEY KINDERCAREFACILITY NUMBER:
376700213
ADMINISTRATOR:URSULA JENKINSFACILITY TYPE:
850
ADDRESS:10068 PACIFIC HEIGHTS BLVD.TELEPHONE:
(858) 546-9115
CITY:SAN DIEGOSTATE: CAZIP CODE:
92121
CAPACITY:98CENSUS: DATE:
01/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 PM
MET WITH:TIME COMPLETED:
09:30 PM
NARRATIVE
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On 1/25/23 at 8:40 am, LPA Annette Sutherland made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Director, Ursula Jenkins. Also present in the facility were 18 day-care children and 11 teachers/staff. Facility was within ratio & capacity. LPA interviewed director and examined the faucet deemed an Action Level Exceedance.

Faucet reported with 5.5 ppb or greater lead exceedance levels was as follow:

Kitchen Sink         6.300 ppb

Faucet in exceedance is one of three kitchen sinks and is not used for drinking or food preparation, but since testing Director has since posted a "Do not use sign above the sink in exceedance to remind staff not to use the faucets for drinking water or food preparation. Children bring water bottles to school each day and the facility provides filtered water to refill the bottles. 

See LIC809D for deficiency cited.

Exit interview conducted and report was reviewed with the facility representative Ursula Jenkins.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2023
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 01/25/2023 09:12 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: SORRENTO VALLEY KINDERCARE
FACILITY NUMBER: 376700213

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2023
Section Cited

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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:
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Corrections have been made by facility. Kitchen sink was tested on 11/12/22 and do not use sign has been posted. Facility will retest at a later date.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance at one kitchen sink that is not used for drinking or food preparations. This poses an potential health, safety or personal rights risk to children in care.
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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2