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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621872
Report Date: 05/19/2022
Date Signed: 05/19/2022 11:32:01 AM

Document Has Been Signed on 05/19/2022 11:32 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:LEARNING PATCH CHILDREN'S CTR, THE (PS)FACILITY NUMBER:
343621872
ADMINISTRATOR:TSCHOEPE, DIANAFACILITY TYPE:
850
ADDRESS:6045 MARGO DRIVETELEPHONE:
(916) 988-5590
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 43TOTAL ENROLLED CHILDREN: 43CENSUS: 34DATE:
05/19/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Megan CoveyTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Ferrara met with Facility Representative Megan Covey for an unannounced Case Management Inspection. LPA observed there were currently 34 children in care with four staff.

The purpose of today’s inspection was to follow up regarding water sampling that indicated Action Level Exceedance (ALE) for a drinking fountain that was tested for lead levels on March 4th, 2022. On May 10th, 2022 the facility was notified that water levels were in exceedance of 5 parts per billion in the drinking fountain that was tested.

Since notification, the water fountain has been taped off and not allowed for use. Facility Representative stated that the piece to fix the fountain is on back order and they have made the decision to remove the water fountain instead.

Alternative drinking water has been provided to the center through another drinking fountain that tested as safe for use, as well as children bringing their own water bottles.

LPA informed the Facility Representative that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP.

Deficiencies are cited on the following page of the report that pose a potential threat to the health and safety of children in care if not corrected. LPA reviewed this report with the Facility Representative and conducted an exit interview. A Notice of Site Visit was provided and should remain posted for 30 days.

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2022
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 05/19/2022 11:32 AM - It Cannot Be Edited


Created By: Kelly Ferrara On 05/19/2022 at 11:03 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: LEARNING PATCH CHILDREN'S CTR, THE (PS)
FACILITY NUMBER: 343621872

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2022
Section Cited
CCR
101238(a)

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Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not as evidenced by: lead test results received by CCLD on May 11th, 2022.
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The drinking fountain has been taped off to prevent usage by children in care. Alternative drinking water has been provided to children in care through another fountain and children's own water bottles. The facility plans to completely remove the drinking fountain that tested positive. Proof that the fountain has been removed will be sent to LPA by
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The facility was notified that a drinking fountain tested on March 4th, 2022 had lead levels exceeding 5 parts per billion(ppb). This poses a potential risk to the health and safety of children in care.
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the POC due date of June 17th, 2022.

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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:Maria Mayorga
LICENSING EVALUATOR NAME:Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:
DATE: 05/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/19/2022


LIC809 (FAS) - (06/04)
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