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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004231
Report Date: 11/29/2023
Date Signed: 11/29/2023 05:09:16 PM

Document Has Been Signed on 11/29/2023 05:09 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LITTLE BEE PRESCHOOLFACILITY NUMBER:
384004231
ADMINISTRATOR:HE, SARRAFACILITY TYPE:
850
ADDRESS:8 & 9 FUNSTON AVENUETELEPHONE:
(415) 377-0303
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94129
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 45DATE:
11/29/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Sarra HeTIME COMPLETED:
05:00 PM
NARRATIVE
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On November 29, 2023, Licensing Program Analysts (LPA)Tso met with Site Director Sarra He. The purpose of inspection was explained and was for an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA was given a tour of the facility. Present in the facility was the director and 13 staff supervising 45 children during the napping time. The facility is in compliance with staff-child ratios.

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 site 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 initial ALE report from the Vendor on March 1, 2023 and June 13, 2023. Test results for the fixture in this facility exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb, fixtures B (27 and 7.9 respectively). Per the director, the center proactively replaced the affected fixture.

Per Written Directives 101700.3(b)(2), licensees shall maintain a lead value at or below 5ppb in all outlets subject to testing requirements for the health and safety of children in care. The Written Directives are included in HSC 1597.16 and are specific guidelines for facilities to adhere to regarding lead water testing. Due to updated guidance on the written directives in PIN 21-21.1-CCP, the facility will be cited for the ALE of fixture B. The deficiency will be cleared at the same day of the visit because the affected fixtures as per the director, the fixture is hand washing sink in Director’s private bathroom for the director’s self-using for hand washing only and not for drinking, food preparation, nor available for any staff and children use. The Director also posts the warnings on the faucet and the bathroom.

* See next page for deficiencies cited today
This report was reviewed and signed by Director, Sarra He.

This notice of Site visit was provided to the licensee and must remain posted for 30 days.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
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 11/29/2023 05:09 PM - It Cannot Be Edited


Created By: Man Tso On 11/29/2023 at 04:54 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: LITTLE BEE PRESCHOOL
FACILITY NUMBER: 384004231

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/08/2023
Section Cited

101700.3

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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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Per the director, the fixture is hand washing sink in Director’s private bathroom for the director’s self-using for hand washing only and not for drinking, food preparation, nor available for any staff and children use. The Director also posts the warnings on the faucet and the bathroom.

The deficieny was cleared at the same visit.
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Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This poses a potential health, safety, or personal rights risk to 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:Ali Zebila
LICENSING EVALUATOR NAME:Man Tso
LICENSING EVALUATOR SIGNATURE:
DATE: 11/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/29/2023


LIC809 (FAS) - (06/04)
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