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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421710362
Report Date: 09/22/2022
Date Signed: 09/22/2022 01:50:03 PM

Document Has Been Signed on 09/22/2022 01:50 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:OAKS PARENT CHILD WORKSHOPFACILITY NUMBER:
421710362
ADMINISTRATOR:EMBRY, THERESAFACILITY TYPE:
850
ADDRESS:605 W. JUNIPERO ST.TELEPHONE:
(805) 682-7609
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 24DATE:
09/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:21 PM
MET WITH:Theresa EmbryTIME COMPLETED:
02:05 PM
NARRATIVE
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On September 22, 2022 at 12:21 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPA met with facility Director, Theresa Embry and advised her the purpose of the inspection. Director provided LPA's a tour of the facility inside and out. There were 24 children in care at the time of the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101704, which may include remediation.

The Regional Office received an ALE for two (2) water outlets in this facility. The Center was notified by LPA Pedroza of the results on September 19, 2022 by phone and email. LPA advised Director that location (C) had an ALE of 11.0 ppb and location (D) had an ALE of 5.6 ppb. Director advised both locations have been secured preventing children/staff from having access.

During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the two (2) outlets were secured with a covering wrapped around them. Director advised that the outlets have been closed since Covid-19 began. Prior to Covid-19 the outlets were used for drinking water.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: OAKS PARENT CHILD WORKSHOP
FACILITY NUMBER: 421710362
VISIT DATE: 09/22/2022
NARRATIVE
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LPA advised the testing report must be posted and parents/authorized representative informed of the ALE. Director advised the facility plans get a quote to see how much it will cost to replace the outlets. Per Director once the quotes are acquired, the facility will determine if they will remove or replace the outlets.

LPA provided a copy of PUB 515 and discussed the need for the Center to share this with families, discussed a plan of correction with the director and informed director the Plan of Correction for lead exceedances must include notification of parents and information about what has been done (their current response, such as water fixture put out of use, and bottled water provided) and remediation plans for all water outlets. LPA's informed Director that parents must acknowledge receipt of licensing report and POC.

LPA shared the following resources quick references:

Quick references:
· PIN 22-06-CCP - Lead Testing in Child Care Centers – Frequently Asked Questions
· PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370

A type B deficiency is being cited today. See attached 809D.

Exit interview conducted and report was reviewed with the Director. Appeal rights were provided to Director.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022
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Document Has Been Signed on 09/22/2022 01:50 PM - It Cannot Be Edited


Created By: Francisco Pedroza On 09/22/2022 at 01:03 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: OAKS PARENT CHILD WORKSHOP
FACILITY NUMBER: 421710362

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2022
Section Cited

101700.3

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101700.3 California Lead Action Level at Child Care Centers
(b) Testing results with fractional ppb readings of 0.5 ppb or greater ... the Action Level.
(1) A result with values of 5.5 ppb ... shall be deemed an Action Level Exceedance.
This requirement is not met as evidenced by:
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Facility has taken the following steps: Shutoff and labeled the two (2) outlets, and will notify parental notification of the water testing results, and are reviewing options to correct the ALE.
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Facility conducted water lead testing and had two (2) outlets exceeded the action level exceedance per regulations. This poses a potential risk to the health and safety of 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:Maria Mueller
LICENSING EVALUATOR NAME:Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2022


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