372001020-1-11-2023-51-CC-SCLA-CMYRC3-20230111115340

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372001020
Report Date: 01/11/2023
Date Signed: 01/11/2023 11:53:49 AM

Document Has Been Signed on 01/11/2023 11:53 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:	COLLEGE AVENUE PRE-SCHOOL		FACILITY NUMBER:	372001020
ADMINISTRATOR:	LARA BLOUIN		FACILITY TYPE:	850
ADDRESS:	4747 COLLEGE AVENUE		TELEPHONE:	(619) 583-7111
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92115
CAPACITY: 180	TOTAL ENROLLED CHILDREN: 212	CENSUS: 154	DATE:	01/11/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Lara Blouin		TIME COMPLETED:	12:10 PM

NARRATIVE

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On 01/11/2023 at 10:45am, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced case management inspection, for Action Level Exceedance (ALE) detected in facility's water fixture. LPA met with Director, Lara Blouin and toured the facility. There were 154 children with a total of 22 teachers/staff. Children were observed either playing outside on the playground or inside doing various activities. Facility was observed operating within appropriate ratio & capacity.

Per the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA on 10/10/22.

On 10/27/2022, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 10/07/2022.

There were 2 Bubbler Water Fountains that were reported with 5.5 ppb or greater lead exceedance levels as follows:

C- Drinking Fountain in hallway outside of room 2 (12UG/L)
H- Drinking Fountain in hallway outside of room 5 (6.9 UG/L)

Director stated that all bubbler water fountains have not been used or operable since March of 2020, if not earlier. After receiving the test results, facility immediately posted the results at the facility on 11/10/22, day that they received the testing results. Alternatively, drinking water has been provided only from sinks and drinking fountains on site that have been tested and confirmed to be below the Action Level for lead.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: COLLEGE AVENUE PRE-SCHOOL	FACILITY NUMBER: 372001020
	VISIT DATE: 01/11/2023

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As a permanent plan of correction, the facility will have the outlets with Action Level exceedances removed. Director stated that the facility manager is on vacation and will have it removed within two weeks. Director stated she will submit photos to LPA showing that the outlets were removed. In the meantime, LPA observed during the inspection that the outlets were inoperable and covered.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

See LIC809D for Type B deficiency cited. Exit interview conducted and report was reviewed with the Director. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/11/2023 11:53 AM - It Cannot Be Edited

Created By: Samantha Clenista On 01/11/2023 at 10:51 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: COLLEGE AVENUE PRE-SCHOOL	FACILITY NUMBER: 372001020
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/31/2023 Section Cited HSC 1597.16	1 2 3 4 5 6 7	A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.	1 2 3 4 5 6 7	Director stated the outlet has not been in use since March 2022. Facility immediately posted the results at the facility on 11/10/22, day they received the testing results. Outlets have remained inoperable and covered. Director stated that the facility is planning to remove both outlets permanently within the next two weeks.
	8 9 10 11 12 13 14	Based on record review, the facility did not comply with the directive above, 2 Bubbler Water Fountains outlets tested with an Action Level Exceedance (ALE). This poses a Potential Health and Safety risk to children in care.	8 9 10 11 12 13 14	Director stated that the facility manager is on vacation and will have it removed within two weeks. Director stated she will submit photos to LPA showing that the outlets were removed no later than due date. In the meantime, LPA observed during the inspection that the outlets were inoperable and covered.
	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:

Monica Cuddy

LICENSING EVALUATOR NAME:

Samantha Clenista

LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC809 (FAS) - (06/04)

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