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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416993
Report Date: 07/28/2023
Date Signed: 07/28/2023 02:02:16 PM

Document Has Been Signed on 07/28/2023 02:02 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:OROM CHILDREN'S CENTERFACILITY NUMBER:
274416993
ADMINISTRATOR:CANDACE FRAZUREFACILITY TYPE:
830
ADDRESS:1752 EAST ALISAL STREETTELEPHONE:
(831) 586-6766
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 50TOTAL ENROLLED CHILDREN: 22CENSUS: 20DATE:
07/28/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:02 PM
MET WITH:Candace FrazureTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Janette Cruz, conducted an unannounced case management inspection and met with Candace Frazure, Director. LPA explained the purpose of today’s inspection is to follow-up lead water retesting completed on 11/03/2022 that indicated a sink in one of the classrooms was found to have Action Level Exceedance (ALE) of 10 ppb. Census was taken, LPA observed child and staff ratio were in compliance. LPA reviewed the water sample summary and requested Director to identify water outlet “S” located in Wonderer's Room with reported ALE of 10 ppb.

LPA notes that a third water sampling was conducted by water sample vendor, Adviro, on 12/19/2022 which indicated lead exceedance of 7 and 36 ppb from facility's main water valve exterior A and A30 respectively. Director stated that they discontinued the flushing since the plan of remediation must be done from the water main source. LPA observed that only bottled waters are used for drinking and food preparation in the infant classrooms. LPA notes that facility has not subscribed to any potable/drinking water service at this time.

LPA obtained the following facility documents during today's inspection: Self-Certification (LIC9275) completed by Certified External Water Sampler, Sampling Checklist Form (LIC9276), Facility Sketch (LIC999) labeled with locations of water outlets that were tested and water sampling summary conducted by Adviro on 12/19/22.

As a result of this inspection, Type B deficiency was cited on the following page.

Exit interview conducted and report was reviewed with Director, Candace Frazure.



A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2023
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 09/01/2023 01:32 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 08/31/2023 03:36 PM


Created By: Janette Cruz On 07/28/2023 at 12:57 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: OROM CHILDREN'S CENTER
FACILITY NUMBER: 274416993

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/11/2023
Section Cited

101700.3(b)(1)

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Lead Testing Written Directives - 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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Licensee currently have adequate supply of bottled water for drinking and food preparation available on site. Licensee will submit a written plan of action by POC due date 08/11/23 indicating plans of remediation (i.e plumbing/repair of outlet) for the identified lead exceedance on main water valve exterior
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Based on observation and record review, Licensee did not comply with section cited above. Lead Sampling Report on 11/3/22 indicated that water from outlet “S” located in Wonderer's Room has elevated lead above 5.5 ppb. Water sampling on 12/19/22 indicated lead exceedance above 5.5ppb on facility’s main water valve exterior A and A30 which pose a potential risk to the health, safety, or personal rights of children 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 Stephenson
LICENSING EVALUATOR NAME:Janette Cruz
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2023


LIC809 (FAS) - (06/04)
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