421710485-11-3-2022-17-CC-GRES-CKTUED-20221103153057

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421710485
Report Date: 11/03/2022
Date Signed: 11/03/2022 03:31:05 PM

Document Has Been Signed on 11/03/2022 03:31 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:	VALLEY CHRISTIAN PRESCHOOL		FACILITY NUMBER:	421710485
ADMINISTRATOR:	BARBARA WILSON		FACILITY TYPE:	850
ADDRESS:	2970 SANTA MARIA WAY.		TELEPHONE:	(805) 937-2171
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	120	CENSUS: 16	DATE:	11/03/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Barbara Wilson		TIME COMPLETED:	03:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/03/2022, at 2:00 PM, 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 Director Barbara Wilson and explained the purpose of the inspection. Director provided LPA a tour of the facility. There were 16 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 four (4 ) water outlets in this facility. The Center was notified by LPA Reyes of the results on October 26, 2022 by phone. LPA advised Center director that four fixtures, labeled A, B, E, & G exceeded the 5-ppb action level. The said fixtures are bottle fillers and bubblers that have an ALE level of 6.8, 5.7, 6.2 and 5.6 respectively while the remaining five fixture first draw samples were less than the action level of 5 ppb. Director informed LPA that the 2 classrooms where fixtures with ALE exceedance the classroom are not being occupied. During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the affected fixtures are wrapped with clear plastic and labeled "Do not use until further notice" Director stated they have not been using the bottle fillers nor the bubblers because the children bring their own refillable water bottle and Center has a 3 gallon and sealed water bottles to refill the children's water bottles. Continued on LIC 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

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: VALLEY CHRISTIAN PRESCHOOL	FACILITY NUMBER: 421710485
	VISIT DATE: 11/03/2022

NARRATIVE

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LPA advised tha testing report must be posted and parents/authorized representative must be informed of the ALE. Director advised they contacted plumbing companies requesting for a quote to fix the water fixtures.

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. Director stated that they have done and considering the following actions

Notified all parents and staff that the four bottle fillers/bubblers have exceeded the

allowable limit for lead.

CCC uses only bottled water for drinking and refilling purposes in the classroom rooms that have

exceeded the allowable limit.

CCC considers to replace all bottle fillers and bubblers that exceeded the allowable limit.
CCC may consider replacing the supply lines and valves up to the wall on the bottle fillers and

bubblers that exceeded the allowable limit.

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 to Director.

Exit interview conducted and report was reviewed with the Director, Barbara Wilson

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 11/03/2022 03:31 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: VALLEY CHRISTIAN PRESCHOOL	FACILITY NUMBER: 421710485
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/14/2022 Section Cited	1 2 3 4 5 6 7	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:
	8 9 10 11 12 13 14	CCC conducted water lead testing and four (4) water outlets exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC809 (FAS) - (06/04)

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