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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500620
Report Date: 03/28/2023
Date Signed: 03/28/2023 03:40:56 PM

Document Has Been Signed on 03/28/2023 03:40 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:ACADEMY OF LEARNERS CDC, LLCFACILITY NUMBER:
394500620
ADMINISTRATOR:ELLA TEMPLE BAUMERFACILITY TYPE:
850
ADDRESS:19047 MAIN STREETTELEPHONE:
(209) 605-0626
CITY:LINDENSTATE: CAZIP CODE:
95236
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 12DATE:
03/28/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director, Ella Temple BaumerTIME COMPLETED:
03:50 PM
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Licensing Program Analyst (LPA) Tobias Lake and Licensing Program Manager (LPM) Chayntel Hunter met with Director Ella Temple Baumer for a Case Management inspection. The purpose of the inspection was to follow-up on a lead testing report dated 02/15/2023 which tested the water in the facility.

LPA was notified of the lead testing report on 03/24/2023 via email. The report revealed that three water outlets had elevated levels of lead. Director reported that the fountains were not being used for drinking or food preperation and two were restroom sinks.

During today's inspection, LPA verified that the affected water outlets are not in use. LPA verified that the three faucets that were in exceedance were mistakenly tested because they are not used for drinking or food preparation. LPA and Director discussed the need to have the water testing report amended to reflect this, and to have the amended report resubmitted.

An exit interview was conducted and the report was reviewed with Director. 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: Jeanne Smith
LICENSING EVALUATOR NAME: Tobias Lake
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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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