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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614243
Report Date: 01/30/2023
Date Signed: 01/30/2023 10:49:40 AM

Document Has Been Signed on 01/30/2023 10:49 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:PRESENTATION PRESCHOOLFACILITY NUMBER:
343614243
ADMINISTRATOR:MURPHY, SHELLEYFACILITY TYPE:
850
ADDRESS:3100 NORRIS AVETELEPHONE:
(916) 482-0351
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 31DATE:
01/30/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Shelley MurphyTIME COMPLETED:
11:00 AM
NARRATIVE
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At 10:00 a.m. on Monday, January 30th, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Shelley Murphy, for the purpose of an unannounced case management - lead testing/exceedance inspection. LPA observed a census of 31 children supervised by 4 staff.

During today’s inspection, LPA followed up regarding water sampling that indicated an Action Level Exceedance (ALE) for a water faucet that was tested for lead levels. Faucet D was in lead level exceedance, greater than 5.5 ppb. LPA observed the faucet and took photo documentation. Faucet D is a secondary kitchen faucet that is used for large pot filling.

LPA and Director reviewed options for corrective action. LPA confirmed that Faucet D will no longer be in use until corrected. LPA informed the Director that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP. Director can also view Lead Testing and Prevention information at https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information .

A deficiency is cited on the subsequent pages of this report. Appeal rights were provided. An exit interview was conducted and this report was reviewed with the Director, Shelley Murphy. A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2023
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 01/30/2023 10:49 AM - It Cannot Be Edited


Created By: Karyn Guerra On 01/30/2023 at 10:39 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: PRESENTATION PRESCHOOL
FACILITY NUMBER: 343614243

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2023
Section Cited

101700.3(b)(1)

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California Lead Action Level at Child Care Centers. b) Testing results with fractional ppb readings of 0.5 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:
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Faucet D is no longer in use. Faucet C in the kitchen will be used moving forward. Director will confer with School Principle to decide if they will cap/remove the faucet of remediate and retest and will follow up with LPA with documentation.
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results were received by the department that indicated Kitchen faucet D was in exceedance of 5.5 ppb. This is a potential risk to the health and safety of children in care if not corrected.
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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:Seychelle De Luca
LICENSING EVALUATOR NAME:Karyn Guerra
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2023


LIC809 (FAS) - (06/04)
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