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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390319952
Report Date: 02/16/2023
Date Signed: 02/16/2023 01:16:57 PM


Document Has Been Signed on 02/16/2023 01:16 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833



FACILITY NAME:TAFT SCHOOLFACILITY NUMBER:
390319952
ADMINISTRATOR:SYLVIA ULMERFACILITY TYPE:
850
ADDRESS:419 DOWNING AVENUETELEPHONE:
(209) 933-7285
CITY:STOCKTONSTATE: CAZIP CODE:
95206
CAPACITY:102CENSUS: 14DATE:
02/16/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lead Teacher Delia Meza-DaSilvaTIME COMPLETED:
01:40 PM
NARRATIVE
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On Thursday, February 16, 2023 at 12:30 PM Licensing Program Analyst (LPA) Carla Polanco met with Lead Teacher, Delia Meza-DaSilva in room 7 for a Case Management inspection. The purpose of the inspection was to follow up on a recent report of the lead testing in the facility of the water used for drinking and cooking. Present in the facility were 3 staff supervising 14 children.

Licensing Regional Office notified the Stockton Unified School District, Compliance Specialist, Mary Dunway


on Wednesday, February 8, 2023, that a report from the State Water Resources Control Board revealed that facility has a water outlet (sink faucet) with elevated levels of lead.

Compliance Specialist Dunway, reported on February 14, 2023, that facility made all outlets with elevated levels of lead inaccessible to use until all affected outlets can be replaced or repaired. The facility is using bottled water for drinking and using the bathroom sinks to wash hands (from unaffected sinks).

During today's inspection LPA verified that the affected water outlets are not in use.

Deficiency cited on subsequent page 809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Lead teacher Hagan.

SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Carla Polanco RiveraTELEPHONE: (916) 212-0752
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 02/16/2023 01:16 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833


FACILITY NAME: TAFT SCHOOL
FACILITY NUMBER: 390319952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/16/2023
Section Cited

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Lead Testing (b)(1) A result wich values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by:
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During today's visit LPA observed that the affected water outlet is not in use. Sink is taped off and Marked "NOT IN USE". Facility uses bottled water for drinking and unaffected sinks in the bathrooms for handwashing. Deficiency will be cleared during today's visit.
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A water report revealed that he facility had elevated levels of lead in one of the sinks. This is a potential health and safety risk to children 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: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Carla Polanco RiveraTELEPHONE: (916) 212-0752
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023
LIC809 (FAS) - (06/04)
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