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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210226
Report Date: 12/15/2022
Date Signed: 12/15/2022 11:20:58 AM


Document Has Been Signed on 12/15/2022 11:20 AM - 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:NIPOMO EARLY LEARNING CENTERFACILITY NUMBER:
406210226
ADMINISTRATOR:LAUREN THORNE - T5FACILITY TYPE:
850
ADDRESS:525 NORTH THOMPSON AVETELEPHONE:
(805) 929-1114
CITY:NIPOMOSTATE: CAZIP CODE:
93444
CAPACITY:30CENSUS: 14DATE:
12/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Melanie PowersTIME COMPLETED:
11:25 AM
NARRATIVE
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On 12/15/2022 at 9:30 AM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by the Division of Drinking Water (DDW), LPA met with Site Supervisor and explained the purpose of the inspection. Site Supervisor provided LPA a tour of the facility. There were 14 children in care at the time of the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101700.3, which may include remediation.

The Regional Office received an ALE for two (2 ) water outlets in this facility. The Center was notified by LPA Reyes of the results on November 14 via phone and email. LPA advised Program Coordinator that two fixtures, labeled A, and C exceeded the 5-ppb action level. The said fixtures are bubblers that have an ALE level of 8 and 31 respectively. Simultaneously Program Coordinator sent an email confirming the ALE at the CCC.

During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the affected fixtures are taped with label "Drinking Fountain Closed" As stated by Program Coordinator, prior to testing, the classroom offered water using a Britta filtered water pitcher, that CCC has not been using the bubblers for approximately 3 years.

Continued on LIC 809 C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022
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 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: NIPOMO EARLY LEARNING CENTER
FACILITY NUMBER: 406210226
VISIT DATE: 12/15/2022
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The site also has families who bring in water bottles for their own child daily and CCC refills it using the purchased gallons of water.

LPA advised tha testing report must be posted and parents/authorized representative must be informed of the ALE.

LPA provided a copy of PUB 515 and discussed the need for the Center to share this with families.

LPA discussed a plan of correction with the director and informed director the Plan of Correction for lead exceedances must include notification of parents and information about what has been done (their current response, such as water fixture put out of use, and bottled water provided) and remediation plans for all water outlets. Site Supervisor stated that they have done the following actions
  • Testing Report has been posted in the classroom which LPA likewise observed.
  • Parents were notified electronically through Learning Genie application platform and in person.
  • Prior to Lead Test, CCC uses bottled water, water pitcher refilled by purchased gallons of water.
  • After the testing, CCC continues to offer bottled water, and refill children's personal bottled water with the purchased gallons of water.
  • The two bubblers which were identified with lead exceedance will be permanently removed during the week of December 19, 2022
  • Site Supervisor had provided PUB 515 to parents


LPA informed Site Supervisor that parents must acknowledge receipt of licensing report and Plan of Correction
LPA shared the following resources quick references:
Quick references:
· PIN 22-06-CCP - Lead Testing in Child Care Centers – Frequently Asked Questions
· PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370

A type B deficiency is being cited today. Appeal rights were provided to Site Supervisor.
Exit interview conducted and report was reviewed with Site Supervisor Melanie Powers
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 12/15/2022 11:20 AM - 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: NIPOMO EARLY LEARNING CENTER
FACILITY NUMBER: 406210226

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2022
Section Cited

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101700.3 California Lead Action Level at Child Care Centers
(b) Testing results with fractional ppb readings of 0.5 ppb or greater ... the Action Level.
(1) A result with values of 5.5 ppb ... shall be deemed an Action Level Exceedance.
This requirement is not met as evidenced by
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The Program Coordinator had submitted the plan of correction which are stated in this report and will submit the confirmation that bubblers is permanently removed which is scheduled in the week of 12/19/2022. Complete POC shall be submitted to CCL no later than 12/23/2022.
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CCC conducted water lead testing and two (2) water outlets exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of the children in care. Although ALE was found, it was noted that Center has not been using the said affected bubblers prior to testing,
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2022
LIC809 (FAS) - (06/04)
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