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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240407216
Report Date: 10/22/2024
Date Signed: 10/22/2024 11:48:57 AM

Document Has Been Signed on 10/22/2024 11:48 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FRANKLIN PRESCHOOLFACILITY NUMBER:
240407216
ADMINISTRATOR/
DIRECTOR:		XIONG, NANCYFACILITY TYPE:
850
ADDRESS:2736 N. FRANKLIN ROADTELEPHONE:
(209) 385-6623
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 29DATE:
10/22/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Site Supervisor Nancy XiongTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
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On 10/22/2024 Licensing Program Analysts (LPAs) Xona Xayavong and Yesenia Fierro conducted an unannounced case management lead testing/exceedance inspection. LPAs met with Site Supervisor Nancy Xiong. The purpose of today’s inspection was to conduct a case management inspection and to notify the facility that there has been a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. LPAs conducted a tour of the facility inside and out and a census was taken.

Fresno North Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from Forensic Analytical Consulting Services (FACS) and discussion with Director Marie Hicks it has been determined that there is an exceedance of the cafeteria kitchen faucet sample number 240407216 A of 6.1 ppb.

Facility has tested twice once on January 9, 2024, and a second time on September 4, 2024. LPAs conducted an inspection of the kitchen sink which has been put off limits. LPAs spoke with Director Hicks who informed LPAs that Maintenance Supervisor Steve Whitaker was in the process of setting up an appointment to install a filtration system, Director Hicks stated they expect to install the filtration system within the next month. Once filtration system is installed the outlet will be flushed and retested prior to use.

Facility currently provides water via water dispenser and children bring their own water bottles from home. Facility will continue to provide water to children via water dispenser.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809D). Site Supervisor Nancy Xiong was provided a copy of the appeal rights. An exit interview was conducted with Site Supervisor Nancy Xiong.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for the next 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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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Document Has Been Signed on 10/22/2024 11:48 AM - It Cannot Be Edited


Created By: Xona Xayavong On 10/22/2024 at 11:06 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FRANKLIN PRESCHOOL
FACILITY NUMBER: 240407216

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2024
Section Cited

101700.3

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(a)California’s Action Level for lead in water at Child Care Centers is 5ppb.(b) Testing results with fractional ppb readings of 0.5ppb or greater shall be rounded up..., before comparing to the Action Level. (1) A result with values of 5.5ppb...Action Level Exceedance. (c) If testing indicates an Action Level.
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LPAs have observed cafeteria sink faucet has been made inaccessible by wrapped plastic bag. Director Marie Hicks confirmed facility will be installing a filtration system within the next month and children will continue to be provided with drinking water via water dispenser. POC will be 11/29/2024.
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Based on record review provided by FACS result of 6.1ppb of kitchen sink faucet sample number 240407216 A. Which are out of compliance over the allowable ALE 5.5ppb. This poses a potential health, safety or personal rights risk to person in care.
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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:Kari McWilliams
LICENSING EVALUATOR NAME:Xona Xayavong
LICENSING EVALUATOR SIGNATURE:
DATE: 10/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2024


LIC809 (FAS) - (06/04)
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