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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503604505
Report Date: 11/28/2022
Date Signed: 11/28/2022 11:31:31 AM


Document Has Been Signed on 11/28/2022 11:31 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:LEARNING TREE, THEFACILITY NUMBER:
503604505
ADMINISTRATOR:O'NEILL, JANYCEFACILITY TYPE:
840
ADDRESS:1480 POPLAR AVENUETELEPHONE:
(209) 847-4050
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:45CENSUS: 32DATE:
11/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jonyce O'NeillTIME COMPLETED:
12:00 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 November 28, 2022 Licensing Program Analyst (LPA), C Brannon conducted an unannounced case management inspection. LPA C Brannon met with director, Jonyce O’Neill. 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 (bbp) in the water at this facility. LPA took a census and toured facility.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test that was conducted on August 27, 2022. Director notified Licensing by email on November 2, 2022. Per director, previous emails were sent an LPA who is no longer working for the Department. Based on records reviewed from vendor California Rural Water Association (CRWA), lab testing, Enthalpy Analytical and discussions with director, Jonyce O’Neill, it has been determined there is an exceedance to outlet C – Sink Faucet in Kitchen on the church side, on site of facility. LPA C Brannon inspected outlet, and it was observed to be a sink in the kitchen that was impacted with a test result of 7.0 ppb (ALE) of lead. Director, Jonyce O’Neill, has replaced the kitchen faucet and has taped off faucet until further testing can be conducted. Director, Jonyce O’Neill, has notified authorized representatives of this correction in English. Per director, Jonyce O’Neill, kitchen faucet, C, is only used during November for Thanksgiving feast.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a Type B deficiency is being cited (see LIC809 D). Director, Jonyce O’Neill, was provided a copy of appeals rights. An exit interview was conducted with, Director, Jonyce O’Neill.

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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2022
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 11/28/2022 11:31 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: LEARNING TREE, THE
FACILITY NUMBER: 503604505

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/28/2022
Section Cited

1
2
3
4
5
6
7
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
8
9
10
11
12
13
14
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. This requirement was not met evidenced by: Based on record review provided by Enthalpy Analytical, a result of (ALE) of 7.0 ppb for outlet C – Sink Faucet in Kitchen on the church side. 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
8
9
10
11
12
13
14
provide evidence of outlet testing at or below the Action Level of 5 ppb to CCL by 12/28/22. 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.

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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2