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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000557
Report Date: 10/31/2022
Date Signed: 10/31/2022 11:30:42 AM

Document Has Been Signed on 10/31/2022 11:30 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ST. MARK'S WEEKDAY NURSERY SCHOOLFACILITY NUMBER:
372000557
ADMINISTRATOR:ANITA HILLFACILITY TYPE:
850
ADDRESS:3502 CLAIREMONT DRIVETELEPHONE:
(858) 273-1489
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 70DATE:
10/31/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Anita HillTIME COMPLETED:
11:45 AM
NARRATIVE
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On 10/31/22 at 10:30 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced Case Management inspection, for reported Lead Exceedance. LPA met with Director, Anita hill. Also present in the facility were 70 daycare children in 6 classrooms and 17 teachers/staff. Facility was within ratio & capacity. LPA interviewed staff and examined the faucets and drinking fountains deemed an Action Level Exceedance. Facility provided facility sketch and required forms (LIC 9275/9276) to Department on 5/6/22.

Faucets and drinking fountains reported with 5.5 ppb or greater lead exceedance levels were as follows:

Classroom 7 drinking fountain (F) 7.7 ppb

Classroom 8 Sink Faucet (I) 5.50 ppb

Classroom 6 Drinking Fountain (L) 33 ppb

Director reported, that all faucets in exceedance were replaced on 5/26/22 and were flushed four times per day as instructed. The plumber had replaced the faucet and fountains. The outlets were retested on 7/27/22. Outlets were flushed as required and the exceedance remained. Director had the facility handyman replace the plumbing lines that connect water from wall to faucet on or around 9/10/22. Once again, the outlets were flushed 4 times a day for 3 weeks before having them tested again. On 9/29/22 the outlets were retested, and the water tested within acceptable levels. During this time children brought water bottles from home and staff utilized safe water outlets for refills. All staff were informed not to use the faucets/water fountain for drinking water or food preparation. Prior to replacement and retesting all affected outlets were covered and taped.

See LIC809D for Type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative, Anita Hill. A copy of PIN 21-21-CCP was provided. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2022
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 10/31/2022 11:30 AM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Adrian L Mangina On 10/31/2022 at 11:13 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ST. MARK'S WEEKDAY NURSERY SCHOOL
FACILITY NUMBER: 372000557

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
11/01/2022
Section Cited

101700.3(b)(1)

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101700.3(b)(1) Written Directives: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidenced by:
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Director stated that faucets and fountains replaced 7/27/22 and pipes were replaced 9/10/22 and as of 9/29/22 all water outlets meet the exceedance limits.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level at 1 faucet (faucet I) and two fountains (fountains F and L), which Director states was not used for food preparation or drinking water. This poses a potential health, safety or personal rights risk to children in care.
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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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2022


LIC809 (FAS) - (06/04)
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