376700314-3-15-2023-51-CC-SSIO-CPXVBZ-20230315161821

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700314
Report Date: 03/15/2023
Date Signed: 03/15/2023 04:18:30 PM

Document Has Been Signed on 03/15/2023 04:18 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	KIDS' CARE CLUB - INFANT		FACILITY NUMBER:	376700314
ADMINISTRATOR:	TOBI STEINER		FACILITY TYPE:	830
ADDRESS:	10414 CRAFTSMAN WAY		TELEPHONE:	(858) 675-7000
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	20	CENSUS: 16	DATE:	03/15/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Tobi Steiner		TIME COMPLETED:	04:25 PM

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On 03/15/2023 at 3:00pm, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced case management inspection, for Action Level Exceedance (ALE) detected in facility's water fixture. LPA met with Director, Tobi Steiner and conducted a tour of the infant classroom. There were 8 infants supervised by four teachers. Appropriate ratio and supervision was observed. All staff members have the required background clearances and are associated to the facility.

Per the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs). 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 5 years after the date of the first testing.

Facility provided facility sketch and required forms (LIC 9275/9276) to Department on 03/09/2023.

On 02/03/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and three water samples were collected on 12/20/2022.

Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels is as follow:

Sample Site P - Sink faucet located at the infant outdoor area. Facility immediately shut off the waters to that faucet after obtaining the test result until it was replaced on 02/23/2023. The faucet has not been use for drinking or food prep after obtaining the result. A sign saying "Do not use for drinking water or food prep" has been placed at the faucet during today's inspection.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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: KIDS' CARE CLUB - INFANT	FACILITY NUMBER: 376700314
	VISIT DATE: 03/15/2023

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Director posted the lead water testing report at the parent board today. The water tester also obtained a sample of the water from the same water outlet P on 03/14/2023 and is awaiting for the test result.

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

See LIC809D for type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/15/2023 04:18 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KIDS' CARE CLUB - INFANT	FACILITY NUMBER: 376700314
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/15/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/15/2023 Section Cited	1 2 3 4 5 6 7	California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 5.5 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:	1 2 3 4 5 6 7	Director stated that the water outlet P located outside has not been used for drinking or food prep. Director understands that the faucet will not be use for drinking or food prep until they obtain the result.
	8 9 10 11 12 13 14	Based on testing report and interview, the licensee did not comply with the directive above, as two out of six of the water outlets located at Site P (Infant Outdoor) with an Action Level Exceedance (ALE). This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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