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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004152
Report Date: 04/25/2024
Date Signed: 04/25/2024 03:17:43 PM


Document Has Been Signed on 04/25/2024 03:17 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:STAR ACADEMY PRESCHOOLFACILITY NUMBER:
414004152
ADMINISTRATOR:CHETTY, JOSEPHINEFACILITY TYPE:
850
ADDRESS:444 EAST MARKET STREETTELEPHONE:
(650) 756-1581
CITY:DALY CITYSTATE: CAZIP CODE:
94014
CAPACITY:45CENSUS: 2DATE:
04/25/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Josephine ChettyTIME COMPLETED:
03:30 PM
NARRATIVE
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On April 25, 2024 at approximately 1:40pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, case management visit to Star Academy Preschool, in regards to lead testing for childcare centers. LPA met with licensee, Josephine Chetty, and explained the purpose of the visit.

Present during visit included licensee with 2 preschool age children. Star Academy Preschool program is licensed to operate on Colma Elementary School site in Classroom #11 and #12. Currently, preschool program is operating in classroom #12 only.

There are 2 water fixtures in classroom #12 (1 sink in bathroom and 1 sink in classroom). Per licensee, water fixtures are used for hand washing only. Food service is provided that includes morning and afternoon snacks only. Per licensee, children bring their own meals and individual water containers to facility. Per licensee, if needed, children's individual water containers are refilled on site through store bought water bottles.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

As of this date, facility has not completed lead water testing that is is in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Facility has not completed lead water testing due to water fixtures not being used for food preparation or drinking purposes. Licensee has not submitted attestation that fixtures are not used for food preparation or drinking purposes by due date of January 1, 2023. LPA referred licensee to the Department website for lead: Toxicity Prevention and Water Testing Information.

Facility is being cited a Type B citation for not completing lead water testing requirement or submitting attestation prior to due date. A plan of correction was discussed and appeal rights were provided.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Josephine Chetty.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 04/25/2024 03:17 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: STAR ACADEMY PRESCHOOL
FACILITY NUMBER: 414004152

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2024
Section Cited
HSC
1597.16(a)(1)

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HSC 1597.16(a)(1) A licensed child day care center... that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023...

This requirement is not met as evidenced by:
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Licensee does not currently provide a lunch service. Water bottles are available on site if needed.
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Based on observation, interview and record review, the licensee did not comply with the section cited above which poses a potential safety or personal rights risk to persons in care.
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Licensee will submit an attestation to regional office, attesting water fixtures on site are not used for drinking, food preparation or consumption by POC 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: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024
LIC809 (FAS) - (06/04)
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