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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600323
Report Date: 02/02/2023
Date Signed: 02/02/2023 11:11:14 AM

Document Has Been Signed on 02/02/2023 11:11 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:KINDERCARE GOLFCREST INFANTFACILITY NUMBER:
376600323
ADMINISTRATOR:MICHELLE MELTONFACILITY TYPE:
830
ADDRESS:7007 GOLFCREST DRIVETELEPHONE:
(619) 461-5771
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY: 32TOTAL ENROLLED CHILDREN: 31CENSUS: 25DATE:
02/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Daphne LandaTIME COMPLETED:
11:15 AM
NARRATIVE
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On February 2, 2023 at 9:55 a.m., Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced Case Management inspection, for reported Lead Exceedance. LPA met with Director, Daphne Landa. LPA toured the facility with Assistant Director Katrina Hoffman. Also present in the facility were 25 daycare children and 9 teachers/staff. Facility was within ratio & capacity. Staff members have the required background clearances and are associated to the facility. 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 the Department via email on 10/17/22.

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

Fixture O-DP yard water fountain: 6.2 ppb

All other fountains and water outlets tested within an acceptable level with no lead exceedance. Parents were notified via email of the lead exceedance and testing results were posted on 11/18/22. The director reported that the faucet in exceedance (Fixture O) was discontinued from use on 10/29/22. At time of inspection LPA observed an “Out of Service” Sign next to the fixture with lead exceedance. To ensure that the affected drinking fountain is not used the water was turned off. The director states that the fixture was replaced with certified low-lead fixtures on 1/26/23. The director also states that the fixture will be conditioned for at least three weeks by flushing them 4 times a day, and then re-tested by a certified third-party sampler. Parents/guardians and Community Care Licensing will be notified of the follow up testing results once they have been received. The director states that purified drinking water is available throughout the facility for drinking and food preparation. Pitchers of purified water are located in each classroom and bottled water is used for cooking/food preparation. Children bring water bottles to school each day which are refilled by facility staff.

See LIC809D for deficiency cited.

Exit interview conducted and report was reviewed with the facility representative, Director Daphne Landa. A notice of site visit was given and must remain posted for 30 days. LPA observed Director Landa post notice of site visit.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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 02/02/2023 11:11 AM - It Cannot Be Edited


Created By: Grace Curtis On 02/02/2023 at 10:23 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: KINDERCARE GOLFCREST INFANT
FACILITY NUMBER: 376600323

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/02/2023
Section Cited
CCR
101700.3(b)(1)

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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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The director reported that the drinking fountain in exceedance has been discontinued from use. All staff have been informed not to use the fountain for drinking water and it has been made inaccessible. The water to the drinking fountain has been turned off and an "out of order" sign has been placed on the drinking fountain. Purified water is being used for drinking and bottled water is being used for food preparation. The fixture has been repaired and will be retested.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level at one drinking fountain. 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023


LIC809 (FAS) - (06/04)
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