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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566203310
Report Date: 07/01/2022
Date Signed: 07/01/2022 10:34:59 AM


Document Has Been Signed on 07/01/2022 10:34 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:VUSD - ATLAS JUMPSTART PRESCHOOLFACILITY NUMBER:
566203310
ADMINISTRATOR:RUTH VALENCIAFACILITY TYPE:
850
ADDRESS:760 JAZMIN AVE.TELEPHONE:
(805) 672-2701
CITY:VENTURASTATE: CAZIP CODE:
93004
CAPACITY:48CENSUS: 0DATE:
07/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Eric ReynoldsTIME COMPLETED:
10:45 AM
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On July 1, 2022 LPA Austin Rios conducted a Case Management- Other Inspection to follow up on Action Level Exceedance (ALE) reported to the Regional Office by WWD. LPA met site coordinator Eric Reynolds who showed LPA the classroom.

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 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 one water outlet in this facility. The Center was notified by LPA of the results on 6/17/2022 by phone and email. LPA received a response from director stating the center has taken the following steps as a Plan of Correction (POC): Director, risk management stated facility has the water shut off to the one outlet, will be replacing it, flushing it, re-testing and will send in a new report when it passes and it re-opened. LPA noted in the pcitures that it is also taped off with a sign not to use.
This outlet C is located in classroom 30 and is the drinking fountain. Facility is now flushing the outlet.

During today’s inspection, LPA toured the entire facility and inspected the outlet in question. LPA found the outlet labeled and sectioned off. Facility is currently closed for summer break and will not be open until 8/24/2022. Facility was not using classroom#30 at all in 2021 or 2022.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2022
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: VUSD - ATLAS JUMPSTART PRESCHOOL
FACILITY NUMBER: 566203310
VISIT DATE: 07/01/2022
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LPA discussed the need for the Center lead information with families, discussed the plan of correction with the director and informed director the Plan of Correction for lead exceedeaces must include notification of parents and information about what has been done.

LPAs 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: htts://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

A Technical violation is being given today on attached LIC9102 for water outlet that exceeded level five Title 22 CCR 101238(a).
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC809 (FAS) - (06/04)
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