343606977-2-10-2023-03-CC-AMAT-CNWTEF-20230210133953

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343606977
Report Date: 02/10/2023
Date Signed: 02/10/2023 01:40:01 PM

Document Has Been Signed on 02/10/2023 01:40 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	STRAUCH CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	343606977
ADMINISTRATOR:	GREEN, MICHELLE		FACILITY TYPE:	850
ADDRESS:	3141 NORTHSTEAD DR.		TELEPHONE:	(916) 263-8477
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95833
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 8	DATE:	02/10/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Michelle Green		TIME COMPLETED:	01:40 PM

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On 02/10/2023 Licensing Program Analyst (LPA) Arianna Manabat met with Facility Representative Michelle Green for the purposes of an unnanounced case management inspection regarding lead testing. During time of arrival eight children present with two staff members. Everyone subject to a criminal background clearance has obtained one. Facility Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center.

On 12/14/2022, the facility tested water samples for lead. Results of the testing have indicated an Action Level Exceedance (ALE) of 240 UG/L for a water fixture (labeled sample #D in the testing). On 12/12/2022 the facility was notified that water levels were in exceedance of 5 parts per billion (ppb) in the locations that were tested. The faucet that was tested and identified is not utilized for any daily activities or drinking.

Through interviews, record review, and observation, LPA found that the faucet that was tested, and identified as exceeding 5ppb, is not utilized for any daily activities or drinking. During interviews with Facility Representatives, LPA Manabat learned that the fixtures for the facility, and all other Twin Rivers facilities, have water coolers within each classroom. Facility Representative stated that no Twin Rivers site uses drinking fixtures and, instead, opt for bottled water or water cooler water.

During interviews with Facility Representatives, LPA Manabat learned that the fixtures for the facility are not utilized for the purposes of drinking and that the facility only utilizes drinking water from Alhambra water jugs which are supplied every two weeks. LPA Manabat has observed that the children are given the water strictly from these jugs and that the facet does not have a drinking fountain attached to the sink.

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SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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 02/10/2023 01:40 PM - It Cannot Be Edited

Created By: Arianna Manabat On 02/10/2023 at 11:53 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: STRAUCH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 343606977
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/10/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/03/2023 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	101700.3 California Lead Action Level at Child Care Centers (b) Testing results with ... (1) A ... values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Faucet is not in use and has never been utilized for children activites during time of operation. Drinking Fountain is shut off for consumption and water flow. Facility has been assessed a POC cleared letter as of 02/10/2023.
	8 9 10 11 12 13 14	Based on record review, one faucet tested exceeded the allowed 5.5 ppb, which poses/posed a potential health, safety or personal rights risk to persons 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:

Roxana Saravia

LICENSING EVALUATOR NAME:

Arianna Manabat

LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: STRAUCH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 343606977
	VISIT DATE: 02/10/2023

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Facility Representative stated that they have notified authorized representatives of the lead exceedance, have been preemptive about flushing the faucet, and have made corrective actions by following up with laboratory services. LPA has informed present staff that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP.A copy of this report was provided to the Facility Representative and appeal rights were assessed. Exit interview was conducted and report was reviewed with the Facility Representative. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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