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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 561700572
Report Date: 04/19/2023
Date Signed: 04/19/2023 05:34:16 PM


Document Has Been Signed on 04/19/2023 05:34 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:KINDERCARE LEARNING CENTER WLVFACILITY NUMBER:
561700572
ADMINISTRATOR:SARAH HUTSONFACILITY TYPE:
850
ADDRESS:917 HAMPSHIRE RDTELEPHONE:
(805) 495-0851
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91361
CAPACITY:90CENSUS: 43DATE:
04/19/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Sarah HutsonTIME COMPLETED:
04:30 PM
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On 4/19/23, at 3:30 PM Licensing Program Analysts (LPAs) Elvin Baddley and Giovani Gonzalez conducted an unannounced Case Management inspection at the abovementioned Child Care Center (CCC) to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPAs met with CCC Director, Sarah Hutson, and advised of the purpose of the inspection. LPAs, in the company of Director, toured the interior and exterior of the CCC. LPAs observed 43 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 101704, which may include remediation.

On 11/22/22, the CCC was advised of ALE reported to the Regional Office by DOW. The facility was cited (Type B) pursuant to WD 101700.3. As a corrective action, the CCC removed all ALE related fixtures from service, placed plastic covering over the fixtures to preventing children/staff from being able to access the water sources for consumption or the washing of food items. Moreover, the CCC placed signs above the fixtures which read, " DO NOT USE." To ensure children are able to consume uncontaimented water, the CCC provides children in care filtered water both inside and outside the CCC. Children in care are also able to bring drinking water from home. The CCC retested the ALE related fixtures following the aforementioned.

The Regional Office received ALE for three water fixtures (water fountain "A"- 19.9 ppb, water fountain "A30"- 9.3 ppb, and water fountain "C"- 7.1 ppb). The CCC was notified by CCLD (LPA Daniel Venegas) of the results on by phone on 4/14/23. Director informed CCLD all fixtures retested continue to be removed from service, labeled with " DO NOT USE," and covered with plastic. Further, Director informed LPA children in care continue to have filtered water both inside and outside the CCC and also have the ability to bring water (CONT. LIC 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2023
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: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 561700572
VISIT DATE: 04/19/2023
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to the CCC from home.

LPAs provided a copy of PUB 515 and discussed the need for the CCC 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 and remediation plans for all water outlets. LPA informed Director that parents must acknowledge receipt of Licensing report and POC.


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
· External Water Sampler Self-Certification Form (LIC 9275)
· Child Care Center Sampling Checklist Form (LIC 9276)
· CDSS Lead Toxicity Prevention and Water Testing Information page
· Resources listed on Sacramento State University, Office of Water Program website
· CCLD website: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

LPA advised Director that children must not have access to the outlet. Should the facility decide to use the outlet in the future for children in care, they must correct the ALE and retest to ensure they are staying in compliance.

No deficiency was cited during today's inspection.

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. Director provided Appeal Right (LIC 9058).

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC809 (FAS) - (06/04)
Page: 2 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 561700572
VISIT DATE: 04/19/2023
NARRATIVE
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from home.

LPAs provided a copy of PUB 515 and discussed the need for the CCC 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 and remediation plans for all water outlets. LPA informed Director that parents must acknowledge receipt of Licensing report and POC.

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
· External Water Sampler Self-Certification Form (LIC 9275)
· Child Care Center Sampling Checklist Form (LIC 9276)
· CDSS Lead Toxicity Prevention and Water Testing Information page
· Resources listed on Sacramento State University, Office of Water Program website
· CCLD website: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

LPA advised Director that children must not have access to the outlet. Should the facility decide to use the outlet in the future for children in care, they must correct the ALE and retest to ensure they are staying in compliance.

No deficiency was cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days for civil penally of $100 may apply. Director provided Appeal Rights (LIC 9058).
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC809 (FAS) - (06/04)
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