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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415297
Report Date: 06/29/2023
Date Signed: 06/29/2023 10:48:10 AM

Document Has Been Signed on 06/29/2023 10:48 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:RYAN RANCH CHILDREN'S CENTER (PRE-SCHOOL)FACILITY NUMBER:
274415297
ADMINISTRATOR:LORETTA EHRHARTFACILITY TYPE:
850
ADDRESS:2 JUSTIN COURTTELEPHONE:
(831) 647-9556
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 79DATE:
06/29/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Loretta EhrhartTIME COMPLETED:
10:55 AM
NARRATIVE
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Licensing Program Analyst (LPA), Joe Macias, conducted an unannounced case management inspection in response to a lead testing completed with an exceedance level. LPA met with the Director Loretta Ehrhart, and explained the nature of today's inspection to her.

During today's inspection LPA Macias requested the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report. The lead exceedance reading was found in a faucet in the yard/ play area. The water source is not utilized by the children. The center provides filtered drinking water for the children, as well as nutrition services.

During today's inspection LPA Macias identified the water source, and observed that the affected faucet is labeled. The posting reads lead exceedance found, this faucet is not to be used for consumption.

Type B deficiency cited, exit interview conducted, and a copy of this report was reviewed with the Director Loretta Ehrhart. Appeal rights were reviewed and provided.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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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Document Has Been Signed on 06/29/2023 10:48 AM - It Cannot Be Edited


Created By: Joseph Macias On 06/29/2023 at 10:18 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: RYAN RANCH CHILDREN'S CENTER (PRE-SCHOOL)
FACILITY NUMBER: 274415297

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/14/2023
Section Cited

101700.3(b)(1)

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Lead Testing Written Directives section 101700.3 (b)(1), a result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:
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During today's inspection LPA Macias requested the following documents; Self-Certification LIC9275, Sampling Checklist Form LIC9276, Facility Sketch LIC 999, fully labeled with locations of all water outlets, and full lead report, to be submitted by the POC date.
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The lead exceedance reading was found in a faucet (J-6.4) in the yard/ play area. This poses a potential risk to the health, safety, and personal rights of the children in care.
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During today's inspection LPA Macias observed the affected faucet is not utilized by children, and is labeled. The posting reads lead exceedance found, this faucet is not to be used for consumption. Filtered water provided.

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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Joseph Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
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