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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566211234
Report Date: 09/23/2022
Date Signed: 09/23/2022 01:22:22 PM


Document Has Been Signed on 09/23/2022 01:22 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:SEVEN C'SFACILITY NUMBER:
566211234
ADMINISTRATOR:ELAINE FRANCISCOFACILITY TYPE:
840
ADDRESS:1322 LAS POSAS ROADTELEPHONE:
(805) 987-7779
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:116CENSUS: 0DATE:
09/23/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Linda WeitmannTIME COMPLETED:
12:45 PM
NARRATIVE
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On September 23, 2022 at 12:10 PM, Licensing Program Analyst (LPA) Francisco Pedroza 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 Assistant Administrator, Linda Weitmann and advised her the purpose of the inspection. Assistant Administrator provided LPA a tour of the facility. . There were no 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 Administrator that location (F) had an ALE of 6.7 ppb and location (Q) had an ALE of 110.0 ppb. Director advised both locations have been secured preventing children/staff from having access.

On September 22, 2022 LPA was notified by facility Administrator Elaine Francisco that location (F) outlet water filter had been replaced and location (Q) had been removed permanently. During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the outlet (F) was properly marked for children/staff not to use and outlet (Q) was removed from the location. Per staff and Assistant Administrator, outlet (F) was only used for hand washing.

Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022
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: SEVEN C'S
FACILITY NUMBER: 566211234
VISIT DATE: 09/23/2022
NARRATIVE
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Outlet (Q) was only used for drinking water in the facility. LPA advised the testing report must be posted and parents/authorized representative informed of the ALE. LPA advised Assistant Administrator that outlet (F) must be tested again for lead and ensure the ALE is cleared prior to allowing children/staff to have access.

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 Assistant Administrator and informed Assistant Administrator 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 Assistant Administrator 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

A type B deficiency is being cited today. See attached 809D.

Exit interview conducted and report was reviewed with the Assistant Administrator. Appeal rights were provided to Assistant Administrator.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2022 01:22 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: SEVEN C'S

FACILITY NUMBER: 566211234

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/23/2022
Section Cited

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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:
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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
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Facility has until 10/23/2022 to make an appointment to have the outlet tested again and/or notify CCL if they cannot meet the POC deadline.

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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022
LIC809 (FAS) - (06/04)
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