376700631-3-27-2023-51-CC-SSIO-CQBQVE-20230327123012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700631
Report Date: 03/27/2023
Date Signed: 03/27/2023 12:30:25 PM

Document Has Been Signed on 03/27/2023 12:30 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:	DEL NORTE HIGH PRESCHOOL		FACILITY NUMBER:	376700631
ADMINISTRATOR:	MARA NACU		FACILITY TYPE:	850
ADDRESS:	16601 NIGHT HAWK LANE		TELEPHONE:	(858) 487-0877
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	42	CENSUS: 25	DATE:	03/27/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Kristie Spillane,Preschool Operations Supervisor		TIME COMPLETED:	12:35 PM

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On 03/27/2023 at 11:35am, Licensing Program Analyst (LPA) Selina Siao conducted case management inspection, for Action Level Exceedance (ALE) detected in facility's water fixtures. There were 25 children supervised by 4 staff members at the playground getting ready for the parents to pick up. Appropriate title 5 ratio and supervision was observed. All staff members have the required background clearances and are associated to the facility. LPA met with Kristie Spillane, Preschool Operations Supervisor and conducted a tour of the kitchen area.

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 03/15/2023.

On 02/23/2023, 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 eight water samples were collected on 02/17/2023.

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

Sample Site Faucet F, G and I - kitchen food prep faucets. The three kitchen faucets have not been use since COVID. The three faucets internal water parts has been replaced. The three faucets are scheduled to be retest on 03/30/2023.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

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: DEL NORTE HIGH PRESCHOOL	FACILITY NUMBER: 376700631
	VISIT DATE: 03/27/2023

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Facility representative was advised to post the Child Care Center Lead Sampling testing report.

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: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/27/2023 12:30 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: DEL NORTE HIGH PRESCHOOL	FACILITY NUMBER: 376700631
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/28/2023 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	Facility representative stated that the kitchen food prep faucets F, G and I have not been use for drinking or food prep since COVID. The kitchen staff members have been using other sink faucets to prepare for food. And the staff understands that they will not use it until the faucets are clear of leads. .
	8 9 10 11 12 13 14	Based on testing report and interview, the licensee did not comply with the directive above, as three out of eight of the water faucets Site F, G and I (kitchen food prep faucets) tested over 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: 03/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023

LIC809 (FAS) - (06/04)

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