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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700812
Report Date: 11/18/2022
Date Signed: 11/18/2022 09:28:03 AM


Document Has Been Signed on 11/18/2022 09:28 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:RAMONA UNITED METHODIST PRESCHOOL - SCHOOL-AGEFACILITY NUMBER:
376700812
ADMINISTRATOR:ANGELA WINKLERFACILITY TYPE:
840
ADDRESS:3394 CHAPEL LANETELEPHONE:
(760) 789-3435
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:28CENSUS: 0DATE:
11/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Angela WinklerTIME COMPLETED:
09:45 AM
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On 11/18/22 at 8:55AM, LPA Patrick Ma made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Director Angela Winkler. There were no school aged in attendance. School age program only operates during the summer per Director. LPA interviewed staff and examined the water outlets deemed an Action Level Exceedance.

Faucets and drinking fountains reported with 5.5 ppb or greater lead exceedance levels were as follows:
Outdoor Hose Outlets A (located outside of school fence) 10.0 ppb
Outdoor Hose Outlets B 20.0 ppb

Director reported, all faucets in exceedance have never been used for food preparations or drinking since they are installed only to connect landscape watering apparatuses. Both water outlets require a key to turn on and Outlet A is actually located outside of the school fence. The school provides water to child and food preparation from kitchen and class faucets in the facility that did not test above the exceedance level. However, since identifying the exceedance levels in hose outlets A & B the teachers have been informed not to use water from for those outlets for drinking or food preparation.

No deficiency cite.

Exit interview conducted and report was reviewed with the facility representative Angela Winkler. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/18/2022
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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