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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504378
Report Date: 08/30/2023
Date Signed: 08/30/2023 01:32:39 PM


Document Has Been Signed on 08/30/2023 01:32 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:SFUSD-GRATTAN EARLY EDUCATION SCHOOL-PRESCHOOLFACILITY NUMBER:
380504378
ADMINISTRATOR:REEDY, MATTHEWFACILITY TYPE:
850
ADDRESS:165 GRATTAN STREETTELEPHONE:
(415) 759-2850
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94117
CAPACITY:69CENSUS: 17DATE:
08/30/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:34 PM
MET WITH:Catherine WalterTIME COMPLETED:
01:50 PM
NARRATIVE
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On 8/30/23 at approximately 12:30PM, Licensing Program Analysts (LPAs) Nathan Garcia and Jonathan Tse conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPAs met with the Principal Catherine Walter.
Present in facility are 17 children, present with 5 staff members before nap time.

LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers 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.

The facility received the ALE report from the Vendor on 09/24/2022. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per principal, the facility had a water lead test through the SFUSD and SFPUC back in May 2023 but the results are not reported on the database. Per principal, she contacted the facilities manager and the Early Education staff Kristy and Karen and LPA advised director to keep the department updated on the status of the fixtures. LPAs also advised the principal to send the retest results that were done back in May which shows a possible exceedance level in room 103. The facility has asked the children to bring their own water bottles from home and the bottles are replenished by using water from water services and a dispenser available for water ingestion and food preparation.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), in an email to the LPA. LPAs obtained copy of the lead water testing results as well.

* See next page for deficiency cited today

This report and notice of Site visit and appeal rights were provided to the licensee and must remain posted for 30 days.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan GarciaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023
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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Document Has Been Signed on 08/30/2023 01:32 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: SFUSD-GRATTAN EARLY EDUCATION SCHOOL-PRESCHOOL
FACILITY NUMBER: 380504378

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/02/2023
Section Cited

101700.3

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101700.3 California Lead Action Level at Child Care Centers (b)(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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The facility has barricaded and included signs for the affected fixtures. The facility is waiting for 3 affected fixtures to be replaced and will be flushing the water fixture until they are retested with a certified water sampler by 10/2/23.
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Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. Once received, the facility took immediate and proper actions to remediate the fixtures.
This poses a potential health, safety, or personal rights risk to persons in care.
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The principal will notify SFUSD to have work orders to remediate the 3 affected fixtures and schedule a retest with new results by set due date. The fixtures will be inaccessible until the retest shows they are under the 5.4ppb of lead threshold.

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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: Daniel J OquendoTELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan GarciaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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