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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005023
Report Date: 04/30/2024
Date Signed: 04/30/2024 10:48:21 AM

Document Has Been Signed on 04/30/2024 10:48 AM - 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:NITTY GRITTY PRESCHOOL AT ACTON SVFACILITY NUMBER:
414005023
ADMINISTRATOR/
DIRECTOR:		COE, MARLENEFACILITY TYPE:
850
ADDRESS:233 TOPAZ STREETTELEPHONE:
(650) 208-3573
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 30TOTAL ENROLLED CHILDREN: 22CENSUS: 17DATE:
04/30/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Marlene CoeTIME VISIT/
INSPECTION COMPLETED:
11:05 AM
NARRATIVE
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On April 30, 2024, at approximately 9:00am, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced case management visit regarding an Action Level Exceedance (ALE) related to lead water testing. LPA met with Director Marlene Cole and explained the purpose of the visit. Present today were Director, 3 staff and 17 preschool age children. Facility operates a preschool program on the site of Sequoia Church. Facility is operating within teacher/children capacity ratios today.

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 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 their initial ALE report from the Vendor on February 13, 2024. Test results for this facility exceeded a higher level of parts per billion (ppb) allowed 5.5 ppb. There were two fixtures that tested above the threshold, fixture A (12.00 ppb) and fixture C (170.000 ppb). LPA observed signs posted above sinks stating to not use faucets for drinking or washing dishes. Fixture “A” is in studio one and fixture “C” is in studio three (not currently in use or licensed). Director is planning to add a toddler room in studio three and will be submitting an increase of capacity application to Regional Office next month.

According to Director, fixture “A” recently had a new faucet installed and under sink pipes are new.

LPA obtained hard copies of the External Water Sampler Self-Certification Form (LIC9275- not complete, Director will request copy from vendor), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999) and water sampling results.

See LIC809-D for deficiency cited today.

This report was reviewed and signed by Director, Marlene Cole.

A Notice of Site Visit was provided to the Director and must remain posted for 30 days.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2024
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 04/30/2024 10:48 AM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 04/30/2024 at 10:04 AM
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: NITTY GRITTY PRESCHOOL AT ACTON SV
FACILITY NUMBER: 414005023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
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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Director is currently working with a licensed plumbing contractor to replace piping under the sink and replace faucets to low-lead fixtures.
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Lead testing report was uploaded to database on 04/19/2024. Lead testing report indicated two fixtures "A" and "C" had high exceedance levels. The water fixtures have not been remediated as of 04/30/2024.
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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 Rodriguez
LICENSING EVALUATOR NAME:Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:
DATE: 04/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/30/2024


LIC809 (FAS) - (06/04)
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