<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005259
Report Date: 10/04/2023
Date Signed: 10/04/2023 03:56:34 PM

Document Has Been Signed on 10/04/2023 03:56 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARIN DAY SCHOOLS - TAM VALLEY CAMPUSFACILITY NUMBER:
213005259
ADMINISTRATOR:CARRIE MOEHNKEFACILITY TYPE:
840
ADDRESS:350 BELL LN. EDS BUILDING A,BTELEPHONE:
(415) 388-8304
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 20DATE:
10/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:18 PM
MET WITH:Carrie MoehnkeTIME COMPLETED:
04:30 PM
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 4, 2023 Licensing Program Analyst (LPA) Nathan Garcia returned to the facility at around 3:15 PM and conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the director, Carrie Moehnke. LPA explained the purpose of the visits and was given a tour of the facility.
Present in facility are 20 children, present with 4 staff members.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

The facility received the ALE report from the Vendor on 11/10/2022. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. Per director, the affected fixture A (6.8) has been replaced on 12/16/2022 and retested on 12/29/2023 and received the retest results for that fixture at 3.6ppb and less than 1 ppb after running for 30 seconds. The retest was done before the January 1, 2023 deadline. LPA observed that fixture A is a sink located in the class room. The facility is using other sources of water, sink that passed the tests, for food preparation and water ingestion such as a Brita filter refilled through the school's main water dispenser.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), as hard copy to LPA.

No deficiencies cited for today's visit.

This report was reviewed and signed by Director, Carrie Moehnke.

This report and notice of Site visit were provided to the licensee and must remain posted for 30 days.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1