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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001398
Report Date: 02/02/2023
Date Signed: 02/02/2023 01:18:01 PM


Document Has Been Signed on 02/02/2023 01:18 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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:KINDERCARE LEARNING CENTER LLC (PS)FACILITY NUMBER:
414001398
ADMINISTRATOR:CHRISTY BERMUDEZFACILITY TYPE:
850
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:70CENSUS: 60DATE:
02/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:TIME COMPLETED:
01:30 PM
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On 2/2/23 at approximately 12:00PM, Licensing Program Analysts (LPAs) 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 Site Director, Christy 'Michele' Bermudez. The purpose of the inspection was explained.

Present in facility are 60 children, present with 7 staff members during circle time.

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 11/19/2022. 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 director, the facility have removed the water fountains that tested above the threshold that were not uploaded into the database. The only affected fixture uploaded is 'K' at 12 ppb of lead in water. Per Michelle, fixture K is not used often and the facilities manager ordered the parts to necessary to replace the faucet. Once the fixture is replace, facility will flush for three weeks and contact the water samplers to schedule for a retest. The children also bring their own water from home and the bottles are replenished by using water from unaffected or filtered fixtures, as needed. The facility uses Brita filters and refilled from unaffected fixtures.

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/hardcopy to the LPA. LPA obtained copy of the initial lead water testing results as well.

There will be no citations for today's visit in regards to the ALE affected fixture located in the kitchen due to its inaccessibility and the availability of other kitchen sinks not affected by lead in water.

Report was emailed to director at Michele Bermudez <Michele.Bermudez@kindercare.com>, due to printer malfunction with confirmation of receipt.

This report and notice of Site visit was 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: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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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