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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393601451
Report Date: 02/13/2023
Date Signed: 02/13/2023 02:01:56 PM

Document Has Been Signed on 02/13/2023 02:01 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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:EL DORADO PRESCHOOLFACILITY NUMBER:
393601451
ADMINISTRATOR:BRENDA GRIFFINFACILITY TYPE:
850
ADDRESS:1540 NORTH LINCOLN STREETTELEPHONE:
(209) 460-1824
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 11DATE:
02/13/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:teacher, Julie OdnealTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPAs) David Nguyen and Lauren Scott met with teacher, Julie Odneal for a Case Management inspection. The purpose of the inspection was to follow-up on a lead testing report, which tested the water in the facility for lead levels.

LPA was notified of the lead testing report on 02/09/2023 via email. The report revealed that one water outlet had elevated levels of lead. During today's inspection, LPA's observed that the fountains have been taped off and marked "Out Of Order. Do Not Use." LPA's observed a water jug and cups that are being used inside and outside for children to consume water.

As a result of the water testing positive for lead, a deficiency was cited on a subsequent page, LIC 809D. An exit interview was conducted and the report was reviewed with the teacher, Julie Odneal. A Notice of Site was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2023
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 02/13/2023 02:01 PM - It Cannot Be Edited


Created By: David Nguyen On 02/13/2023 at 01:50 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
, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: EL DORADO PRESCHOOL
FACILITY NUMBER: 393601451

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/13/2023
Section Cited

101700.3(b)(1)

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Lead Testing (b)(1) A result which 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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During today's visit LPAs observed that the affected water outlets are not in use and taped off with a sign stating, "out of order. do not use." Facility is providing wate rin a water jug with cups to children
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The water report revealed that the facility had elevated levels of lead in one water fountain. This is a potential health and safety risk to the children 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:Chayntel Hunter
LICENSING EVALUATOR NAME:David Nguyen
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2023


LIC809 (FAS) - (06/04)
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