566204208-4-19-2023-17-CC-EBAY-CR2QCT-20230419120341

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566204208
Report Date: 04/19/2023
Date Signed: 04/19/2023 12:04:18 PM

Document Has Been Signed on 04/19/2023 12:04 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 TO		FACILITY NUMBER:	566204208
ADMINISTRATOR:	LOESSBERG, LISA		FACILITY TYPE:	850
ADDRESS:	2425 OAKBROOK DR.		TELEPHONE:	(805) 492-2495
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY:	84	CENSUS: 60	DATE:	04/19/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Lisa Loessberg		TIME COMPLETED:	11:30 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 4/19/23, at 9:15 AM 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, Lisa Loessberg, and advised of the purpose of the inspection. LPAs,, in the company of Director, toured the interior and exterior of the CCC. LPAs observed 60 children in care along with six teachers. 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 ALE reading for three water outlets in this facility. The CCC was notified of the reading (Preschool bubbler- 5.6 ppb, playground bubbler- 26.6 ppb and Preschool faucet- 6.2 ppb) on 3/25/25. Director informed LPAs the water fixtures have been removed from service. The fixtures have siganage LPAs note the fixtures are also covered by plastic to preventing children/staff from being able to consume water from the sources or wash food items consumed by children in care. LPAs advised the testing report must be posted and parents/authorized representative informed of the ALE. LPAs notes the CCC has a testing prominently displayed near the entry of the CCC. 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 (CONT.LIC 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (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 TO	FACILITY NUMBER: 566204208
	VISIT DATE: 04/19/2023

NARRATIVE

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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.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (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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