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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700572
Report Date: 12/05/2022
Date Signed: 12/05/2022 03:19:26 PM

Document Has Been Signed on 12/05/2022 03:19 PM - 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:PANDA BEAR PRESCHOOLFACILITY NUMBER:
376700572
ADMINISTRATOR:LEONOR KENNALYFACILITY TYPE:
850
ADDRESS:4998 VIA VALARTATELEPHONE:
(858) 576-2327
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 30DATE:
12/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Leonor KennalyTIME COMPLETED:
03:30 PM
NARRATIVE
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On 12/5/22 at 2:30 PM, Licensing Program Analyst (LPA) Keturah Lane made an unannounced case management inspection for reported Lead Exceedance. LPA met with Director Leonor Kennaly and toured the facility. Also present in the facility were 30 daycare children and 3 staff members in 3 classrooms. Facility was within ratio and capacity. All staff were fingerprint cleared and associated to the facility. LPA interviewed Director and examined the drinking fountain outside the women’s restroom near sanctuary deemed an Action Level/Exceedance. Water testing date was 10/15/22. The drinking fountain had lead exceedance levels of 8.7 Ug/L.

Director reported that the preschool does not use the other building where the sanctuary is located. The public uses the building on Sundays. Results from the water testing were received on 11/30/22. Director stated that the water fountain deemed an action level exceedance was bagged and labeled “Under Repair” since 11/30/22. Director stated she is unsure if the water fountain was used by the public prior to testing. Director stated she is not sure if the church facility is planning to repair the fountain or if it will remain closed. Director stated that facility manager Adrian Hom is responsible for the facilities in the other building.

None of the fountains or sinks used for drinking or food preparation in the licensed preschool area had a lead exceedance. The drinking fountain outside the women’s restroom by the sanctuary is the only outlet that had a lead exceedance.

See LIC809-D for Type B citation.

Exit interview conducted and report was reviewed with the facility representative Director Leonor Kennaly. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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 12/05/2022 03:19 PM - It Cannot Be Edited


Created By: Keturah Lane On 12/05/2022 at 03:04 PM
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: PANDA BEAR PRESCHOOL
FACILITY NUMBER: 376700572

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2022
Section Cited
CCR
101700.3(b)(1)

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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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LPA observed water fountain closed, bagged and marked for repair. Fountain is inaccessible. Children do not use the fountain and are not even in the building that has the lead exceedance. If fountain is repaired, Director stated she would send retesting documents to licensing.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level for the drinking fountain outside women's restroom near the sanctuary which may have been used for drinking prior to the lead exceedance which posed 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:Monica Cuddy
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2022


LIC809 (FAS) - (06/04)
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