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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701442
Report Date: 05/03/2023
Date Signed: 05/03/2023 11:16:21 PM

Document Has Been Signed on 05/03/2023 11:16 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:PARENTCARE CENTRAL FAMILY RECOVERY INFANTFACILITY NUMBER:
376701442
ADMINISTRATOR:ANGELA ROWEFACILITY TYPE:
830
ADDRESS:4125 ALPHA STREET, SUITE FTELEPHONE:
(619) 668-4210
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 1DATE:
05/03/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Beth ReynoldsTIME COMPLETED:
12:30 PM
NARRATIVE
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On 5/3/2023 at 11:10 a.m., Licensing Program Analyst (LPA) Cindy Meier conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of lead detected in facility water fixtures. LPA met with Center Coordinator, Beth Reynolds. The purpose of the inspection was explained, and facility was toured. Present in facility was one (1) child, parent, and one (1) staff.

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 2/9/2023.

On 1/23/2023 the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report (testing #477986) indicated the facility was inspected and samples were collected on 1/17/2023. The outlets/fixtures reported with 5.5 ppb or greater lead exceedance levels were as follows:

C - Sink Faucet_Infant Room FLUSHED
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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 05/03/2023 11:16 PM - It Cannot Be Edited


Created By: Cindy Meier On 05/03/2023 at 11:43 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2023
Section Cited

101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers. (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) 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 facility has made outlet(s) that tested with an ALE out of service and posted appropriate signage. Licensee representative stated the fixture has been replaced with a new fixture. Fixture(s) are to be retested by a certified water sampler and a follow-up water sample must be taken following the protocol outlined in Written Directives, Section 101705. Licensee representative stated that children in care will be provided with alternative potable water, by using alternate outlet(s)/bottled water/water cooler, while waiting to replace the outlet(s). Licensee representative stated that parents will be notified of the lead exceedances via email/letter/telephone call.



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Based on record review, the licensee did not comply with the directive above, as one (1) outlet(s) not used for drinking and/or food preparation tested with an Action Level Exceedance (ALE).

This poses a potential Health and Safety risk to children in care.
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Licensee representative stated the POC will be provided to the San Diego Regional Office no later than 06/03/2023.

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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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2023


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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442
VISIT DATE: 05/03/2023
NARRATIVE
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Facility representative stated that the fixture which reported with 5.5 ppb or greater lead exceedance levels have been removed from operation and the facility replaced the fixture with a new fixture. The Facility is in the process of having the fixture retested to ensure compliance. There is no accessibility/operation of the fixture.
Facility representative further stated that the facility received grant funding (per PIN 21-04-CCP) and that retesting of fixtures/outlets is being scheduled.

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.

LPA informed Center Coordinator, Beth Reynolds that this report dated 5/3/2023 documents one (1) Type B citation on the attached 809-D.

LPA advised licensee representative that parents must be notified of the lead exceedances. Licensees shall post testing results, in a location consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24 hours of receiving the results from the Department.

Exit interview conducted and report was reviewed with Supervisor, Beth Reynolds. 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: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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