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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300600595
Report Date: 05/01/2023
Date Signed: 05/01/2023 11:00:39 AM

Document Has Been Signed on 05/01/2023 11:00 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ST. JEANNE DE LESTONNAC SCHOOLFACILITY NUMBER:
300600595
ADMINISTRATOR:SR. GUADALUPE ROMEROFACILITY TYPE:
850
ADDRESS:16791 EAST MAIN STREETTELEPHONE:
(714) 542-4271
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 30DATE:
05/01/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Principal, Sr Cecilia DuranTIME COMPLETED:
11:15 AM
NARRATIVE
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On 05/01/2023 at 9:20am Licensing Program Analyst (LPA), Anna Chan conducted an unannounced Case Management inspection visit for the purpose to discuss the Lead Sampling Testing conducted on 03/29/2023. LPA met with Principal Sister Cecilia Duran who was explained the reason for today’s visit and LPA were provided a tour of the facility. LPA also met with Director Sr Mary Gomez who showed the faucets that were tested. LPA observed 05 pre-school staff and 30 preschool children.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 03/29/2023 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE).

Instructions for required lead testing are outlined in PIN 21-21.1-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Child Care Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.

Facility staff was advised on 05/01/2023 that the Lead Sample Report was to be posted. LPA did observe the facility had posted the Lead Sample Report

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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: ST. JEANNE DE LESTONNAC SCHOOL
FACILITY NUMBER: 300600595
VISIT DATE: 05/01/2023
NARRATIVE
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Outlet F, the only outlet that tested positive for elevated levels of lead. The outlet is a sink in the kitchen and is not being used to prepare food. Outlet F is a kitchen faucet that had a level of 6.02ppb . On 04/18/2023 LPA received pictures from the facility director via email. The kitchen is an off-limits area for children in care. The facility provides filtered water for the children and children also bring their own water bottles from home. The facility stated that they are flushing the faucet 4 times a day until it is re-tested, and faucet is not being used to prepare food. The faucet is also replaced with a new faucet. There are 2 other kitchen sinks being used to prepare food which passed the lead level.

Based on LPA interview with staff, review of facility sketch and walk-through, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101700.3(b)(1)California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.

Exit interview conducted with Principal Cecilia Duran. The report was reviewed and discussed. Appeal Rights were discussed. Director was provided copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days.

Director was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
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Document Has Been Signed on 05/01/2023 11:00 AM - It Cannot Be Edited


Created By: Anna Francesca Chan On 05/01/2023 at 10:22 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ST. JEANNE DE LESTONNAC SCHOOL
FACILITY NUMBER: 300600595

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2023
Section Cited

101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number... (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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Facility stated that faucet F located in the kitchen is not being used to prepare food. Faucet F is also replaced with a new faucet on 4/14/23. A copy of the work order was provided to the LPA on 05/01/23
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Lab report analysis water from outlet F (6.02 ppb) taken on 03/29/2023 indicated levels of lead in exceedance.

This poses a potential risk to the health and safety of children in care.
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Administration is currently flushing faucet F 4x daily and will submit resampling results to LPA through email. Please refer to the 101704 Lead Action Level Exceedance Response Requirements PIN provided today.

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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:Rina Lopez
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


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