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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334802521
Report Date: 02/02/2024
Date Signed: 02/02/2024 12:07:26 PM

Document Has Been Signed on 02/02/2024 12:07 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:TEMECULA PLAY & LEARN SCHOOL, INC.FACILITY NUMBER:
334802521
ADMINISTRATOR:ANDREA BORRELLFACILITY TYPE:
850
ADDRESS:42690 MARGARITA ROADTELEPHONE:
(951) 693-0381
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
02/02/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Andrea BorrellTIME COMPLETED:
12:30 PM
NARRATIVE
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On 02/02/23 at 11:30AM, Licensing Program Analyst (LPA) William Chancellor, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with Director (DIR) Andrea Borrell who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers constructed before January 1, 2010, to test their drinking and cooking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. LPA observed on the report provided by the SWRCB, the faucet identified as “Room 3 Faucet” was marked as having high levels of lead.

The faucet is located in room 3 in the kitchen area. DIR Borrell, told LPA that the faucet was always marked off limits and non-operable until October when it was replaced and retested. The faucet has been replaced as of October 2023.

Interviews with staff and volunteers confirmed that the sink was never used for water consumption and previously the facility always utilized water bottles prior to having the sink replaced and retested.

See LIC 809D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12 written directives.

An exit interview was conducted with Director Andrea Borrell. A copy of this report, appeal rights and a Notice of Site Visit was issued. Notice of Site visit must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2024
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 02/02/2024 12:07 PM - It Cannot Be Edited


Created By: William M Chancellor Jr. On 02/02/2024 at 11:39 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TEMECULA PLAY & LEARN SCHOOL, INC.
FACILITY NUMBER: 334802521

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/02/2024
Section Cited
HSC
1597.16(a)(1)

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A licensed child day care center, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.
This requirement was not met as evidenced by:
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Andrea Borrell had Rm 3 faucet clearly identified as off limits and non-operable. The CCC had previously been providing bottled drinking water to children in care. Faucet was replaced in Oct. 2023 and retested 10/12/23 and passed.
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Testing was completed on 8/16/2023, A level of 6.9 was tested as an exceedance in Room 3 Faucet.
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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:Pauline Beschorner
LICENSING EVALUATOR NAME:William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2024


LIC809 (FAS) - (06/04)
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