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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421700402
Report Date: 03/09/2023
Date Signed: 03/09/2023 11:35:18 AM


Document Has Been Signed on 03/09/2023 11:35 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:TRINITY BAPTIST PRESCHOOLFACILITY NUMBER:
421700402
ADMINISTRATOR:ARIANNA PACHECOFACILITY TYPE:
850
ADDRESS:1002 CIENEGUITAS ROADTELEPHONE:
(805) 687-4988
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY:84CENSUS: 60DATE:
03/09/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:18 AM
MET WITH:Arianna Pacheco TIME COMPLETED:
11:44 AM
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On March 9th, 2023 at 11:17AM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to LPA by director. LPA met with facility director Ariana Pacecho and advised her the purpose of the inspection. Director provided LPA a tour of the facility. There were sixty (60) 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 101704, which may include remediation.

The facility director advised LPA there was a lead exceedance as told to her by water sampler for preschool (PS) hallway fountain. LPA reviewed water sample findings and there was no exceedance present. PS hallway registered at 4.3 ppb and per written directive, results with values of 5.5 ppb shall be deemed an Action Level Exceedance.

During today’s inspection, LPA inspected the outlet in question. LPA observed that the one (1) drinking fountain was taped off rendering inaccessible to children and staff. Director stated that facility is in process of installing a new fountain based on water sampler’s report of 4.3 ppb.

No deficiency was cited during today's inspection.

Exit interview conducted and report was reviewed with the director and Notice of Site Visit provided.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
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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