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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600450
Report Date: 01/11/2023
Date Signed: 01/11/2023 10:41:37 AM


Document Has Been Signed on 01/11/2023 10:41 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:CANYON RIM CHILDREN'S CENTER, INC.FACILITY NUMBER:
376600450
ADMINISTRATOR:ELIZABETH BARRFACILITY TYPE:
850
ADDRESS:6801 EASTON COURTTELEPHONE:
(619) 287-6767
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:87CENSUS: 60DATE:
01/11/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sandy Cordova & Amanda HerveyTIME COMPLETED:
11:00 AM
NARRATIVE
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On 1/11/2023 at 10:00AM, Licensing Program Analyst (LPA), Nancy Diaz conducted an unannounced case management inspection for the Action Level Exceedance (ALE) of lead detected in facility water fixture. LPA met with staff Sandy Cordova & Amanda Hervey (Sanfilippo). The purpose of the inspection was explained and facility was toured. Present in facility were 60 children and staff members Sara Prough, Raquel Casillas (Holguin), Stefani Boggeln, Morgan Sanfilippo, Erin Milligan, Joanne Pham, Shannon Featherston, Page Barth & Madison James. There were also 2 ROP student observed in the Fish & Frog rooms.

LPA discussed 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.

LPA obtained copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276) Facility Sketch (LIC999) on 1/10/2023.

On 12/2/2022 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 12/2/2022. The outlets/fixtures reported with 5.5 ppb or greater lead exceedance levels were as follows:

Sink C (located outside Room 4) with 79 ug/L

Both staff stated that this Sink was never use as source of drinking water. This sink was use for handwashing during art activities.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
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)
Page: 1 of 3


Document Has Been Signed on 01/11/2023 10:41 AM - It Cannot Be Edited

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: CANYON RIM CHILDREN'S CENTER, INC.
FACILITY NUMBER: 376600450

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/10/2023
Section Cited

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101700.3(b)(1) Written Directives per AB2370: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by…
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OBSERVED CORRECTED. Staff stated that the children did not use the sink for drinking. This sink is used for handwashing and washing art supplies.
A bright yellow posting was observed right above the sink stating....
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level for Sink C, located outside Room 4.
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"Utility sink only no drinking water/no food washing."

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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 DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2023
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: CANYON RIM CHILDREN'S CENTER, INC.
FACILITY NUMBER: 376600450
VISIT DATE: 01/11/2023
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Director will post the lead water testing report for parents to review.

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. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview conducted and report was reviewed with Sandy Cordova, Administrative Director. A copy of this report, along with Appeal Rights (LIC9058), were provided. A notice of site visit was provided and observed posted. This notice must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3