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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002733
Report Date: 03/06/2024
Date Signed: 03/06/2024 03:39:23 PM


Document Has Been Signed on 03/06/2024 03:39 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:EARLY LEARNING ACADEMYFACILITY NUMBER:
414002733
ADMINISTRATOR:VASQUEZ, VERONICAFACILITY TYPE:
850
ADDRESS:398 F STREETTELEPHONE:
(650) 755-8440
CITY:COLMASTATE: CAZIP CODE:
94014
CAPACITY:68CENSUS: 41DATE:
03/06/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Veronica VasquezTIME COMPLETED:
04:00 PM
NARRATIVE
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On March 6, 2024 at approximately 2:15pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, case management visit in regard to lead testing in childcare centers. LPA met with director, Veronica Vasquez, and explained the purpose of the visit.

At time of LPA's visit, children were sleeping. Present during visit included director, 5 teaching staff and 41 preschool children. Program operates in 3 classrooms: Chicks (2-3 year olds), Pandas (3-4 year olds), and Caterpillars (4-5 year olds).

Food service is provided to preschool children that included morning and afternoon snack. Food is prepared in facility's kitchen. Drinking water is made available to children, indoors and outdoors, with children's individual water containers. Water can be refilled, through water pitchers that are refilled on site.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

As of this date, facility is not completed lead water testing that is in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Per director, facility may have been built in 2009 or 2010. Documentation proving when building was constructed was not available during LPA's visit.

LPA referred director to the Department website for lead: Toxicity Prevention and Water Testing Information.

Facility is being cited a Type B citation for not completing lead water testing requirement prior to due date. A plan of correction was discussed and appeal rights were provided.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Veronica Vasquez.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024
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 03/06/2024 03:39 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: EARLY LEARNING ACADEMY
FACILITY NUMBER: 414002733

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2024
Section Cited
HSC
1597.16(a)(1)

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HSC 1597.16(a)(1) A licensed child day care center... that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023...

This requirement is not met as evidenced by:
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Facility to test their water fixtures used for drinking and food preparation no later than POC due date or submit proof of when building was constructed.
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Based on interview and record review, the licensee did not comply with the section cited above by not completing lead testing by January 1, 2023 in accordance to written directives, which poses a potential health, safety or personal rights risk to persons in care.
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LPA reminded director testing must be completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA reminded director lead testing must be completed by an ELAP certified laboratory.

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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: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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