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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701447
Report Date: 08/20/2022
Date Signed: 08/22/2022 01:34:33 PM


Document Has Been Signed on 08/22/2022 01:34 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:HSHMC CHILD CARE CENTERFACILITY NUMBER:
376701447
ADMINISTRATOR:SONIA SMITHFACILITY TYPE:
830
ADDRESS:3910 UNIVERSITY AVENUE STE 100TELEPHONE:
(619) 255-9546
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:8CENSUS: 1DATE:
08/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Director Sonia SmithTIME COMPLETED:
12:30 PM
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On August 22, 2022 at 12:15 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection for the purpose to provide Technical Assistance (TA) regarding required lead testing mandates. LPA advised Director Sonia Smith of the meeting’s purpose and was granted facility entry. Present in the center were one (1) infant and two (2) staff. The daycare operations schedule is weekdays from 7 AM to 4 PM.

Childcare centers constructed before 01/01/2010 are to test their water for lead between 01/01/2020 and 01/01/2023 and then every five (5) years after the date of the first lead testing. LPA provided director with Provider Information Notice (PIN) 20-01-CCP “Required Lead Testing for Drinking Water in Licensed Child Care Centers and the Provision of the Lead Exposure Information to Parents and Guardians by All Licensed Child Care Facilities” (issued 01/10/2020), PIN 21-21-CCP “Release of the Written Directive for Lead Testing of Water in Licensed Child Care Centers per AB2370” (issued 07/28/2021) and PIN 22-06-CCP “Lead Testing in Child Care Centers – Frequently Asked Questions” (issued 02/25/2022). LPA also provided the director with the LIC 9275 – External Water Sampler Self-Certification Form and the LIC 9276 – Center Sampling Checklist Form. LPA suggested that staff review these PINs on the CCL website so they may gain access to the video imbedded on the online PIN. This video was created by the Office of Water Programs at Sacramento State. Should staff have any questions, LPA recommends they email CCCWaterTesting@dss.ca.gov.

No deficiencies were issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Sonia Smith.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2022
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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