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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421711657
Report Date: 09/14/2022
Date Signed: 09/14/2022 05:40:01 PM


Document Has Been Signed on 09/14/2022 05:40 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:COLUMBIA CHILDREN'S CENTER, INC.FACILITY NUMBER:
421711657
ADMINISTRATOR:CORTNEY DASMANNFACILITY TYPE:
850
ADDRESS:840 EAST STOWELL ROADTELEPHONE:
(805) 922-5437
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:82CENSUS: 33DATE:
09/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:Cortney DasmannTIME COMPLETED:
05:55 PM
NARRATIVE
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On September 14, 2022 at 4:23 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Francisca Velazquez conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by WWD. LPA's met with facility Director, Cortney Dasmann and advised her the purpose of the inspection. Director provided LPA's a tour of the facility inside and out. There were 33 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 one (1) water outlets in this facility. The Center was notified by LPA Velazquez of the results on September 13, 2022 by phone. LPA advised Director that sink letter (C) in the classroom had an ALE of 11.0 ppb. Director advised the sink was being used at the moment not for drinking but for hand washing only.

During today’s inspection, LPA's toured the entire facility and inspected the outlet in question. LPA's observed that the sink was secured with a red sign stating "Sink out of order". The sink uses a step function to operate the sink. LPA's observed the step was removed preventing children and staff from operating the sink. Director advised the sink has never been used for drinking or cooking water. The sink is only for hand washing by staff only.

Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2022
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: COLUMBIA CHILDREN'S CENTER, INC.
FACILITY NUMBER: 421711657
VISIT DATE: 09/14/2022
NARRATIVE
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LPA's advised the testing report must be posted and parents/authorized representative informed of the ALE. Director advised they contacted two (2) local plumbing companies today requesting a quote to fix the sink.
LPA's provided a copy of PUB 515 and discussed the need for the Center to share this with families, 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. LPA's informed Director that parents must acknowledge receipt of licensing report and POC.

LPA's 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. See attached 809D.

Exit interview conducted and report was reviewed with the Director. Appeal rights were provided to Director.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/14/2022 05:40 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: COLUMBIA CHILDREN'S CENTER, INC.
FACILITY NUMBER: 421711657

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2022
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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Facility conducted water lead testing and one (1) outlet exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of the children in care
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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: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2022
LIC809 (FAS) - (06/04)
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