<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370244
Report Date: 09/15/2022
Date Signed: 09/15/2022 10:19:09 AM

Document Has Been Signed on 09/15/2022 10:19 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:TURTLE ROCK PRESCHOOLFACILITY NUMBER:
304370244
ADMINISTRATOR:CHEMBERLEN, FRANCESCAFACILITY TYPE:
850
ADDRESS:1 CONCORDIA WESTTELEPHONE:
(949) 854-7611
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY: 136TOTAL ENROLLED CHILDREN: 136CENSUS: 122DATE:
09/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Francesca Chemberlen - DirectorTIME COMPLETED:
10:20 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Odom conducted an unannounced Case Management visit. LPA met with Director Francesca Chemberlen to discuss the Lead Sampling Testing conducted on 06/25/22. LPA Odom ensured the Lead Sample Report is posted. Licensee was advised on 09/13/22 the Lead Sample Report was to be posted; LPA confirmed the Licensee posted the Sample Report.

Director stated the outlets with high levels of Lead are inoperable. Outlet G is a drinking fountain in Rm #5 that has been closed off by shutting off the water outlet and covering it with plastic bag. Outlet M is a drinking fountain in Rm #8 that has been closed off by shutting off the water outlet and covering it with plastic bag. Outlet O is a drinking fountain in Rm #9 that has been closed off by shutting off the water outlet and covering it with plastic bag. Outlet Q is a drinking fountain in Rm #10 that has been closed off by shutting off the water outlet and covering with plastic bag. Outlet T is a drinking fountain in Rm #11 that has been closed off by shutting of the water outlet and covering it with plastic bag. Director stated they plan to remediate the outlets. Source of drinking water is children’s water bottles brought from home and refilled by staff using pitchers with Arrowhead filtered water gallons.

Based on LPAs record reviews 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 California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.

Exit interview conducted and report was reviewed with the Director Francesca Chemberlen. A notice of site visit was given and must remain posted for 30 days.



Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 09/15/2022 10:19 AM - It Cannot Be Edited


Created By: Carmen Odom On 09/15/2022 at 09:46 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: TURTLE ROCK PRESCHOOL
FACILITY NUMBER: 304370244

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2022
Section Cited

101700.3

1
2
3
4
5
6
7
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, before comparing to the Action Level. (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:
1
2
3
4
5
6
7
Director posted the lead sampling test results. Director closed off outlets and covered with plastic bags. Director stated they are using water bottles and Arrowhead water gallons as another source of drinking water. Director plan of action is to remediate outlets and keep LPA informed with replacing outlets. Director to send LPA plan/resolution by poc date 9/16/22.
8
9
10
11
12
13
14
Based on facility Lead sampling tests it was discovered that outlet in Rm 5, Rm 8, Rm 9, Rm10, and Rm 11 had high level of lead. This poses a potential risk to the health of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Judy Hanson
LICENSING EVALUATOR NAME:Carmen Odom
LICENSING EVALUATOR SIGNATURE:
DATE: 09/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2