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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623186
Report Date: 07/09/2024
Date Signed: 07/09/2024 11:10:28 AM

Document Has Been Signed on 07/09/2024 11:10 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SETA - CAPITAL CITY HEAD STARTFACILITY NUMBER:
343623186
ADMINISTRATOR/
DIRECTOR:		CRISTINA COBIANFACILITY TYPE:
850
ADDRESS:7220 24TH STREETTELEPHONE:
(916) 263-3800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 16DATE:
07/09/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Miss LynchTIME VISIT/
INSPECTION COMPLETED:
11:30 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
On 7/9/2024 at approximately 8:30am Licensing Program Analyst (LPA) Christopher Bello met with Head Teacher, Miss Lynch, to conduct an unannounced case management inspection. There were 16 children at time of inspection. The purpose of today's inspection was to create a plan of correction following reports of lead exceedance in three of the facility outlets.

On June 29, 2022, the facility tested water samples for lead. Two water outlets sampled indicated an Action Level Exceedance (ALE). These outlets are marked A and C on the facility sketch provided by the center. On July 5, 2022 the Licensing Program was notified that water levels were in exceedance of 5 parts per billion in tested locations.

The outlets marked A and C are shutoff and are no longer in use.

No Title 22 Deficiencies observed in the areas that were evaluated. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Lead Teacher Miss Lynch.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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 1