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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503602251
Report Date: 11/21/2022
Date Signed: 11/30/2022 10:27:28 AM


Document Has Been Signed on 11/30/2022 10:27 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:TURLOCK CHRISTIAN PRESCHOOL (INF)FACILITY NUMBER:
503602251
ADMINISTRATOR:JENNIFER RENTERIAFACILITY TYPE:
830
ADDRESS:2006 E. TUOLUMNE ROADTELEPHONE:
(209) 669-2192
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:31CENSUS: 16DATE:
11/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Jennifer RenteriaTIME COMPLETED:
01:00 PM
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On 11/21/2022 Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced case management inspection. LPA Vega-Gonzalez met with Interim Preschool Director, Jennifer Renteria. The Purpose of today's inspection is to conduct a Case Management Inspection regarding a lead exceedance referred to, as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at this facility.

Fresno Regional Office received notification of water lead exceedance at the facility on 11/16/2022, resulting from a recent water lead sampling test that was conducted on 10/22/2022. Based on records reviewed from Enthalpy Analytical Water Association and discussions with Jennifer Renteria it has been determined there is an Action Level Exceedance to outlets “C-Sink Faucet_Puppies” and “D-Sink Faucet_Kitchen”, as labeled on LIC 999 Facility Sketch Floor Plan of facility.

LPA Vega-Gonzalez inspected Outlet “C” and it was observed to be a sink located in Nursery Room named Puppies that was impacted with a test result of 8.6 ppb (ALE) of lead. LPA observed that, Jennifer Renteria had turned outlet off and had no running water in Outlet “C” during inspection. LPA Vega-Gonzalez inspected Outlet-D and it was observed to be a sink located in the Kitchen that was impacted with a test result of 7.5 ppb (ALE) of lead. LPA observed that Outlet “D” was turned off and had no running water during inspection. Jennifer Renteria stated to LPA that all children in care bring their own water bottles, and that water bottles are refilled in Outlet labeled “L” located in the Monkeys room that had an Action Level less than 5 ppb. Jennifer Renteria also stated that all bottles, dishes, and food preparation are washed/done in Outlet “L”. LPA observed a water bottle fill station and water fountains labeled as Oulet "B" in play yard. Jennifer Renteria stated that due to cold weather the fountains are turned off, but are used during the warmer months. LPA observed that there is no running water in Outlet "B".

(Continue on LIC809-C)

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Stephanie Vega-GonzalezTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2022
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 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: TURLOCK CHRISTIAN PRESCHOOL (INF)
FACILITY NUMBER: 503602251
VISIT DATE: 11/21/2022
NARRATIVE
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Jennifer Renteria has turned off source of water in both Outlet “C” and Outlet “D” and will not be used for drinking and food preparation until repairs can be made. (See Plan of Corrections for further corrective actions on LIC809-D). Jennifer Renteria has notified authorized representatives of this correction in English, and had posted water results. LPA obtained a copy of notification. LPA provided a copy of PIN 21-21-CCP Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370 to Licensee.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a Type B deficiency is being cited: (see next page, LIC 809-D). Jennifer Renteria, was provided a copy of appeals rights. An exit interview was conducted with, Jennifer Renteria.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Stephanie Vega-GonzalezTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/30/2022 10:27 AM - 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, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: TURLOCK CHRISTIAN PRESCHOOL (INF)
FACILITY NUMBER: 503602251

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2022
Section Cited

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-101700.3 California Lead Action Level at Child Care Centers (a) California's Action Leve for lead in water at Child Care Centers is 5 ppb. (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
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This requirement was not met evidenced by: Based on record review provided by Enthalpy Analytical Water Association a result of (ALE) of 8.6 ppb for Outlet “C” and 7.5 ppb for Outlet “D”. Which is out of compliance over the allowable ALE 5 ppb. This poses a potential health, safety or personal rights risk to persons in care.
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Outlet “C” and “D” and provide an update LIC 999 Floor Plan by 12/21/2022 to CCL. Licensee will refer to PIN 21-21-CCP Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370. LPA provided a copy to licensee.

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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: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Stephanie Vega-GonzalezTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2022
LIC809 (FAS) - (06/04)
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