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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506270
Report Date: 03/21/2024
Date Signed: 03/21/2024 10:32:54 AM

Document Has Been Signed on 03/21/2024 10:32 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LAND'S END SCHOOL - PRESCHOOL, THEFACILITY NUMBER:
380506270
ADMINISTRATOR:PRADO, JOANNAFACILITY TYPE:
850
ADDRESS:4150 CLEMENT ST BUILDING T-35TELEPHONE:
(415) 751-8511
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 30TOTAL ENROLLED CHILDREN: 25CENSUS: 17DATE:
03/21/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Bea isabela BundangTIME COMPLETED:
11:00 AM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the Head Teacher, Bea isabela Bundang, explained the purpose of the inspection to her. There was 17 preschoolers with 6 staff present.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the Director during the inspection. All Child Care Centers 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 referred the Head Teacher, Beaisabell Bundang, to the Department for lead: Lead Toxicity Prevention and Water Testing Information. LPA searched on the webpage of Child Care Center Lead Sampling and Reporting Tool on 03/15/2024, no record was found.

Type B deficiency citation was issued. (Please refer to LIC809D).
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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 03/21/2024 10:32 AM - It Cannot Be Edited


Created By: Cindy Mok On 03/20/2024 at 03:08 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LAND'S END SCHOOL - PRESCHOOL, THE
FACILITY NUMBER: 380506270

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/21/2024
Section Cited
HSC
1597.16(a)(1)

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(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
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Licensee will have water outlets tested for lead contamination by the due date:4/21/2024.
Proof of correction will be submitted to the department via email.

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Based upon record review, the facility did not test for lead, which posed a potential health, safety, or personal rights risk to the persons 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:Garfield Leung
LICENSING EVALUATOR NAME:Cindy Mok
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
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