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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213520
Report Date: 03/30/2023
Date Signed: 03/30/2023 06:27:35 PM


Document Has Been Signed on 03/30/2023 06:27 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:INSPIRATIONS PRESCHOOL CENTERFACILITY NUMBER:
406213520
ADMINISTRATOR:KATHERINE BURNETTFACILITY TYPE:
850
ADDRESS:925 VINE ST.TELEPHONE:
(805) 238-6888
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:52CENSUS: 28DATE:
03/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Katherine BurnettTIME COMPLETED:
11:28 AM
NARRATIVE
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On March 30, 2023 at 9:30 AM, Licensing Program Analysts (LPAs) Gigi Reyes and Dixie Wright 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), LPAs met et with Child CAre Center Director, Katherine Burnett and explained the purpose of the inspection. Director provided LPAs a tour of the facility. There were 28 day care children and 5 staff present during 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 one (1) water outlet in this facility. The Center was notified by LPA Reyes of the results on March 30, 2023 via phone and email. LPA advised Director that one fixture labeled E exceeded the 5-ppb action level. The said fixture is kitchen faucet. Director stated CCC seldom cook and stopped using the the said fixture after the test.

During today’s inspection, LPAs toured the entire facility and inspected the outlets in question. LPA advised Director that the affected fixture should be taped and labeled "Kitchen Faucet Closed" Director stated that, CCC seldom used the kitchen faucet inasmuch as children bring their own lunch,

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: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2023
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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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: INSPIRATIONS PRESCHOOL CENTER
FACILITY NUMBER: 406213520
VISIT DATE: 03/30/2023
NARRATIVE
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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 that 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.CCC Plan of Actions to correct the deficiency are as follows:
  • Testing Report has been posted in the classroom which was observed by LPAs.
  • Parents were also notified electronically through Cura Cubby application platform.
  • The kitchen faucet which was identified with lead exceedance was taped and not available or use.
  • Director had provided PUB 515 to parents
  • CCC may consider replacing the kitchen faucet and/or replacing the supply lines

LPA informed Director 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 and explained. .
Exit interview conducted and report was reviewed with Katherine Burnett
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/30/2023 06:27 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: INSPIRATIONS PRESCHOOL CENTER
FACILITY NUMBER: 406213520

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2023
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 Director agreed to submit the plan of correction to Community Care Licensing no later then 4/10/2023.
dixie.wright @dss.ca.gov
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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 CCC has not been using the said affected drinking fountain 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: 03/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2023
LIC809 (FAS) - (06/04)
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