561701236-10-3-2022-17-CC-RCHZ-CJUUER-20221003153134

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 561701236
Report Date: 10/03/2022
Date Signed: 10/03/2022 03:31:40 PM

Document Has Been Signed on 10/03/2022 03:31 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:	FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.		FACILITY NUMBER:	561701236
ADMINISTRATOR:	AUTUMN MCGUIRE		FACILITY TYPE:	850
ADDRESS:	1338 EAST SANTA CLARA STREET		TELEPHONE:	(805) 653-5304
CITY:	VENTURA	STATE: CA	ZIP CODE:	93001
CAPACITY:	61	CENSUS: 30	DATE:	10/03/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:41 AM
MET WITH:	AUTUMN MCGUIRE		TIME COMPLETED:	11:14 AM

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 October 03, 2022 at 9:43 AM, Licensing Program Analyst (LPA) Rona Chavez conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPA met with facility Director, Autumn McGuire and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 30 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. The Regional Office received an ALE for two (2) water outlets in this facility. The Center was notified by LPA Pedroza of the results on September 19, 2022 by phone and email. LPA advised Director that location (b) had an ALE of 8.2 ppb and location (J) had an ALE of 10 ppb. Director advised both locations have been secured preventing children/staff from having access. During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the two (2) outlets were secured. Outlet (B) is now an unused classroom, that has been out of use since 8/19/2022. Outlet has been replaced and is turned off and bagged pending retesting. Outlet (J) is an outdoor fixture, that has been shut off and a covering wrapped around it. Director advised that the outlets have been closed since Covid-19 began. Prior to Covid-19 the outlets were used for drinking water. Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

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: FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.	FACILITY NUMBER: 561701236
	VISIT DATE: 10/03/2022

NARRATIVE

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LPA advised the testing report must be posted and parents/authorized representative informed of the ALE. Testing will be rescheduled when outlet (J) has been replaced.

LPA 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 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: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 10/03/2022 03:31 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: FIRST UNITED METHODIST PRESCHOOL & CHILD CARE C.	FACILITY NUMBER: 561701236
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/03/2022 Section Cited	1 2 3 4 5 6 7	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:
	8 9 10 11 12 13 14	Facility conducted water lead testing and had two (2) outlets exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of the 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: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3