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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414003043
Report Date: 02/02/2023
Date Signed: 02/02/2023 04:26:50 PM

Document Has Been Signed on 02/02/2023 04:26 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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:P.A.R.C.A. PROJECT REACHFACILITY NUMBER:
414003043
ADMINISTRATOR:HINKSTON, CECILIAFACILITY TYPE:
840
ADDRESS:130 CAMBRIDGE LANETELEPHONE:
(650) 871-8402
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 20DATE:
02/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:46 PM
MET WITH:Cecilia HinkstonTIME COMPLETED:
04:45 PM
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On 2/2/23 at approximately 3:30PM, Licensing Program Analysts (LPAs) Nathan Garcia conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the Site Director, Cecilia Hinkston. The purpose of the inspection was explained.

Present in facility are 20 children, present with 4 staff members plus the director during outdoor time.

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 ALE report from the Vendor on 12/22/2022. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. LPA observed the fixture was made inaccessible with signs and barricades of the button to prevent use of the fountain. According to the director, the kids bring their own water bottles and it is replenished on site from store bought filtered water and from another water source that passed the lead water testing by utilizing Brita filters, as needed. Per director, most of the food preparation does not require usage of water. If it is required, the sink that is utilized has passed the lead water testing.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), in an email to the LPA. LPA obtained copy of the lead water testing results as well.

No deficiencies cited today considering that the water fountain has not been used since before the pandemic in 2020. Per director, the water fountain will also be permanently removed on 2/11/23. Director will send confirmation of removal to the department.

The report and notice of site visit will be sent through email due to printer malfunction. Confirmation of receipt will be required.

This report and notice of Site visit is provided to the licensee and must remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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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