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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009699
Report Date: 06/27/2022
Date Signed: 06/27/2022 01:54:59 PM

Document Has Been Signed on 06/27/2022 01:54 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:VERITAS CHRISTIAN ACADEMYFACILITY NUMBER:
283009699
ADMINISTRATOR:VANMAREN, RENEEFACILITY TYPE:
850
ADDRESS:2659 FIRST STREET, SUITE BTELEPHONE:
(707) 253-7226
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 75TOTAL ENROLLED CHILDREN: 70CENSUS: 33DATE:
06/27/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Renee VanMarenTIME COMPLETED:
02:05 PM
NARRATIVE
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On 6/27/2022 at 1:10pm, Licensing Program Analyst (LPA), Kevin O'Connell made a case management inspection and met with Director, Renee VanMaren . The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5 ppb) of lead in the water:
Faucet "M" - playground drinking fountain, 40. 00ppb
The staff have made the faucet inaccessible by
the licensee removing the faucet from service by capping the pipe below the faucet and now the children have no way of using it. Children in care are receiving drinking water from individual tumblers from home that staff refill from faucets inside the facility as needed.

The following deficiency is being cited (see LIC 809D). A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Renee VanMaren.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022
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 06/27/2022 01:54 PM - It Cannot Be Edited


Created By: Kevin O'Connell On 06/27/2022 at 01:36 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VERITAS CHRISTIAN ACADEMY
FACILITY NUMBER: 283009699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/11/2022
Section Cited
CCR
101238(a)

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Buildings and Grounds 101238(a) The child care center shall be
clean, safe, sanitary and in good repair at all times to
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Licensee has made the faucet inaccessible the next day by capping off the pipe making the drinking fountain inoperable.
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ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by:
Based on record review, the facility had 1 faucet that exceeded that allowable levels of lead in the water. This is a potential health and safety risk to 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:Leslie Lepori
LICENSING EVALUATOR NAME:Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:
DATE: 06/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/27/2022


LIC809 (FAS) - (06/04)
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