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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002029
Report Date: 09/16/2022
Date Signed: 09/16/2022 01:07:24 PM


Document Has Been Signed on 09/16/2022 01:07 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:STRETCH THE IMAGINATION, LLCFACILITY NUMBER:
384002029
ADMINISTRATOR:MICHELLE LAMOTTE LAWTONFACILITY TYPE:
850
ADDRESS:2509 BUSH STREETTELEPHONE:
(415) 922-0104
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY:52CENSUS: 9DATE:
09/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Michelle LawtonTIME COMPLETED:
01:00 PM
NARRATIVE
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On September 16, 2022 at approximately 11:10 AM, Licensing Program Analyst (LPA) Nathan Garcia conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the director, Michelle Lawton. The purpose of the inspection was explained.

Present in facility are 9 children with 2 staff members in total. Another group of 10 students for afternoon program arrived with 2 teachers, and another group of 11 with 2 teachers during the visit.

LPA 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 7/12/2022. 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 is currently out of order. The facility took action to contact the facility's management to repair and replace the fixture. Per director, the affected fixtures B (7.1) is located in the staff kitchen and was not primarily used even before the testing. Per director, the fixture was replaced on September 2, 2022. The repaired fixture is currently being flushed 4 times a day and being left stagnant for 8+ hours per day, for three weeks long, as directed by the certified water samplers. The facility will be scheduling a retest with the certified water samplers three weeks after the flush has been done. The fixture still has 3 weeks left of flushing.

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 with the date when the fixture was replaced received on 9/13/22.


* See next page for deficiency cited today

This report was printed and given to director, Michelle Lamotte Lawton

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: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2022
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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Document Has Been Signed on 09/16/2022 01:07 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: STRETCH THE IMAGINATION, LLC
FACILITY NUMBER: 384002029

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2022
Section Cited

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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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Based on results received from the certified water samplers, the facility exceeded 5.5ppb of lead in their water source. Once recieved, 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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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: 09/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2022
LIC809 (FAS) - (06/04)
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