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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700608
Report Date: 01/04/2023
Date Signed: 01/04/2023 12:31:57 PM

Document Has Been Signed on 01/04/2023 12:31 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:MAGIC HOURS CHILDRENS' CENTERFACILITY NUMBER:
376700608
ADMINISTRATOR:HOLLY WEBERFACILITY TYPE:
850
ADDRESS:8330 WESTMORE ROADTELEPHONE:
(858) 271-8383
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 39DATE:
01/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:32 AM
MET WITH:Holly WeberTIME COMPLETED:
12:45 PM
NARRATIVE
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On 1/4/2023 at 11:32AM, 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 Holly Weber, Director. The purpose of the inspection was explained and facility was toured. Present in facility were 39 children and 4 staff members (Atyah Kushkaki, Holly Bolt, Asia Garcia and Sumana Ray).

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 12/30/2022.

On 12/15/2022 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 11/26/2022. The outlets/fixtures reported with 5.5 ppb or greater lead exceedance levels were as follows:

Sink B (Room #1) - 200 ppb
Sink C (Room #2) - 5.6 ppb
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2023
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 01/04/2023 12:31 PM - It Cannot Be Edited


Created By: Nancy Diaz On 01/04/2023 at 11:52 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: MAGIC HOURS CHILDRENS' CENTER
FACILITY NUMBER: 376700608

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/11/2023
Section Cited

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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Mrs. Weber stated that the facility always provided water from the kitchen via Brita water pitchers that filters out chemicals. LPA observed Brita pitchers (and drinking cups) easily accessible to children. Mrs. Weber stated that she will turn off the drinking water permanently (Sinks B & C) and ensures that Brita pitchers be available to children at all times.
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level for B (Room 1) & C (Room 2) sinks. Mrs. Weber stated that these sinks were never used for drinking and are mainly used for handwashing only. This posed a potential health, safety or personal rights risk to children in care.
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Mrs. Weber shall submit a written statement no later than 1/11/2023 indicating that both water resources (Sink B & C) were turned off permanently.

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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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023


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: MAGIC HOURS CHILDRENS' CENTER
FACILITY NUMBER: 376700608
VISIT DATE: 01/04/2023
NARRATIVE
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Mrs. Weber stated that the children never used the drinking fountain as the facility always provided Brita water pitcher next to the sink with water cups easily accessible to children. LPA observed Brita pitchers in all the classrooms today.

Director will post the lead water testing report for parents to review during today's inspection.

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 Holly Weber, Director. A copy of this report, along with Appeal Rights (LIC9058), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023
LIC809 (FAS) - (06/04)
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