<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 490110439
Report Date: 09/13/2022
Date Signed: 09/13/2022 03:40:27 PM


Document Has Been Signed on 09/13/2022 03:40 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:LEARNING TO LEARNFACILITY NUMBER:
490110439
ADMINISTRATOR:JANELLE WASHINGTONFACILITY TYPE:
850
ADDRESS:1300 MEDICAL CENTER DRIVETELEPHONE:
(707) 584-4224
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY:109CENSUS: 42DATE:
09/13/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:28 AM
MET WITH:Janelle WashingtonTIME COMPLETED:
02:19 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 09/13/2022, Licensing Program Analyst (LPA), Y.Yang made a case management inspection and met with Director, Janelle Washington. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.0 ppb) of lead in the water: Sample Sites, "A" the Art Room's drinking fountain had a reading of 8.0ppb, "G" the Toddler Room drinking fountain had a reading of 9.0ppb, "H" the Toddler Room drinking fountain had a reading of 7.0ppb, and "I" the Toddler Room drinking fountain had a reading of 8.0ppb. All other sources of water tested below the allowable level of 5.0ppb.

The facility removed the faucets from service by capping the pipes below the faucet and now the children have no way of using it. Children in care are receiving drinking water from individual tumblers from home that staff refill from faucets inside the facility as needed.

The Center Director submitted the External Water Sampling Self-Certification Form (LIC 9275), Child Care Center Sampling Checklist Form (LIC 9276) and Facility Sketch/Floor Plan (LIC 999) to LPA.

The following deficiency is being cited (see LIC 809D). Appeal Rights was provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Janelle Washington.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2022
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 09/13/2022 03:40 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405


FACILITY NAME: LEARNING TO LEARN
FACILITY NUMBER: 490110439

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2022
Section Cited

1
2
3
4
5
6
7
101700.3(b)(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on record review, the facility had four faucets (Sites "A", "G", "H", and "I") that exceeded that allowable levels of lead in the water (8.0 ppb, 9.0ppb, 7.0ppb and 8.0ppb, respectively). This is a potential health and safety risk to 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: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2