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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808933
Report Date: 11/18/2022
Date Signed: 11/18/2022 02:08:11 PM

Document Has Been Signed on 11/18/2022 02:08 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MUHSD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
243808933
ADMINISTRATOR:OJEDA, GRACIELAFACILITY TYPE:
830
ADDRESS:1900 G STTELEPHONE:
(209) 325-1693
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
11/18/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Graciela Ojeda - DirectorTIME COMPLETED:
02:15 PM
NARRATIVE
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On 11/18/22 Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced case management inspection. LPA met with Director, Grace Ojeda for the purpose of conducting a case management inspection, regarding 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.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from the Environmental Laboratory Accreditation Program (ELAP) report and self-reported information for MUHSD Child Development Center License # 243808933 impacted with an ALE of 6.06 ppb in outlet F Kitchen Faucet Center. These results indicate out of compliance over (ALE) 5.5 ppb. During today’s inspection LPA observed that Outlet F Kitchen Faucet Center has been removed. LPA observed that facility is still able to provide water to the kitchen for cooking through Outlet E Kitchen Faucet Left and Outlet G Kitchen Faucet Right. These outlets have been tested and are in compliance.

Facility is providing water to the infant children by means of alternative water fountains that have been tested and are in compliance. Fresh potable water is available to infant children, visitors and staff during hours of operation. Director stated parents will be notified of the ALE Per PIN 21-21 CCP WD 101704(b)(3). Facility will also post results for parents to review Per PIN 21-21 CCP WD 101703(b).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D). Site Supervisor was provided a copy of appeal rights. An exit interview was conducted. 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 30 days.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2022
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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Document Has Been Signed on 11/18/2022 02:08 PM - It Cannot Be Edited


Created By: Joseph Pacheco On 11/18/2022 at 01:47 PM
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: MUHSD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 243808933

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/28/2022
Section Cited

101700.3

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California Lead Action Level at Child Care Centers (a) California’s Action Level for lead in water at Child Care Centers is 5 ppb. (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
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Director stated she will provide LPA with a copy of the notice that is being sent to children’s authorized representatives regarding ALE and provide evidence that the notice has been posted in the facility by 11/28/22. Outlet F has been removed from the facility.
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This requirement was not met as evidenced by based on record review provided by Licensee indicating ALE of 6.06 ppb in outlet F Kitchen Faucet Center. These results indicate an exceedance over ALE 5.5 ppb, which is out of compliance. This poses a potential health, safety or personal rights risk to persons 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:Diana deLeon
LICENSING EVALUATOR NAME:Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:
DATE: 11/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/18/2022


LIC809 (FAS) - (06/04)
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