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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002286
Report Date: 05/01/2024
Date Signed: 05/01/2024 12:26:33 PM

Document Has Been Signed on 05/01/2024 12:26 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LAND'S END SCHOOL - INFANT, THEFACILITY NUMBER:
384002286
ADMINISTRATOR/
DIRECTOR:		PRADO, JOANNAFACILITY TYPE:
830
ADDRESS:4150 CLEMENT ST BUILDING T-35TELEPHONE:
(415) 751-8511
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 18TOTAL ENROLLED CHILDREN: 16CENSUS: 14DATE:
05/01/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Jennifer Quach & Joanna PradoTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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12Licensing Program Analysts (LPA), Mok, conducted an unannounced case management inspection for the Action Level Exceedance (ALE) of Lead in the Child Care Center's water. The LPA met with the Lead Teacher, Jennifer Quach, and Site Director, Joanna Prado, and explained the purpose of the inspection to them. The LPA met with the Lead Teacher, Jennifer Quach when arriving at the facility, and the Site Director arrived at the facility later during the inspection. There were five infants with three staff and nine toddlers with three 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.

The facility received the ALE report from the Vendor on April 22, 2024. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The affected fixtures are as follows.

Child Day Care Areas:
Fixture Result (ppb)
B
51.0

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 - INFANT, THE
FACILITY NUMBER: 384002286
VISIT DATE: 05/01/2024
NARRATIVE
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The fixture B (51,0 ppb) is in the Infant Program area. The Director proactively temporarily made it inaccessible by covering the affected faucet with an out-of-service sign. The source of the water is collected from the Fixture A - Kitchen (2.8 ppb) which is not the ALE of lead water. The director will submit the written plan for fixing the affected fixture, including retesting the sample will be submitted to the Licensing Office by 6/1/2024.



Per the updated guidance on written directives in PIN 21-21.1-CCP, facility will be cited for the actionable level exceedance of the fixtures.

Please refer to LIC 809D for today’s citation. A copy of today’s report and the facility’s appeal rights were discussed and given to the Director. The Notice of Site Visit was given to the director and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Joanna Prado.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/01/2024 12:26 PM - It Cannot Be Edited


Created By: Cindy Mok On 05/01/2024 at 09:44 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LAND'S END SCHOOL - INFANT, THE
FACILITY NUMBER: 384002286

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2024
Section Cited

101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers (b)(1) 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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The Director stated that the facility would replace the affected fixtures and will schedule a retest with certified water samplers. The Director will submit the plan of fixing the affected faucets with the date for retest by 6/1/2024, and update the LPA for the retest results, once available.


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Based on results received from the certified water samplers, the facility did not ensure the lead in their water source below 5.5 ppb, which poses/posed a potential health, safety, or personal rights risk to persons in care.
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The retest results will be forwarded to the department by the set due date.

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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: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


LIC809 (FAS) - (06/04)
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