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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801791
Report Date: 03/23/2023
Date Signed: 03/23/2023 02:06:05 PM

Document Has Been Signed on 03/23/2023 02:06 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LINCOLN PRESCHOOLFACILITY NUMBER:
543801791
ADMINISTRATOR:DORIA, CHERIFACILITY TYPE:
850
ADDRESS:851 N. STANFORDTELEPHONE:
(559) 562-8523
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 20DATE:
03/23/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Cheri DoriaTIME COMPLETED:
02:15 PM
NARRATIVE
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On 03/23/2023 Licensing Program Analyst (LPA) Daniel Alvarez conducted an unannounced case management inspection. LPA Alvarez met with Director Cheri Doria who accompanied LPA on a tour of the facility, and a census was taken. The purpose of today's inspection is to address the lead exceedance, referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

The Fresno South Regional Office received notification of water lead exceedance at the facility resulting from a water lead sampling test collected on 02/24/2023. Records were reviewed from LA Testing and discussed with Director Cheri Doria, it has been determined that there is an exceedance to outlets (H) and (I) in the facility. LPA Alvarez inspected outlet (H) it was observed to be a kitchen faucet in room 41 that was impacted with 20.2 ppb (ALE) of lead. LPA Alvarez also inspected outlet (I) it was also observed to be a indoor drinking faucet in room 41 that was impacted with 9.01 ppb (ALE) of lead.

Facility has made both outlets inoperable to preschool by locking the door to classroom 41 since this classroom has not been used by the preschool since December of 2021 and will not be used until remediation and retesting is done.

(See plan of correction for further corrective action 809D). Facility has already notified all the authorized representatives of this corrective action in English and Spanish.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809D). Director Cheri Doria was provided a copy of the appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Daniel Q Alvarez
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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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Document Has Been Signed on 03/23/2023 02:06 PM - It Cannot Be Edited


Created By: Daniel Q Alvarez On 03/18/2023 at 09:42 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LINCOLN PRESCHOOL
FACILITY NUMBER: 543801791

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2023
Section Cited

101700.3(b)(1)

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California Action Level at Child Care Centers (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number ... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE). This requirement was not met as evidenced by
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Both outlets have been made inoperable. Director states she is working with the school district & maintenance department for remediation and retesting. Facility will notify all parents/authorized representatives of any corrective action already taken at the facility.
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Based on record review, two outlets at the facility contained lead exceedance greater than 5.5 ppb. This poses a potential health, safety or personal rights risk to persons 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:Susie Fanning
LICENSING EVALUATOR NAME:Daniel Q Alvarez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/23/2023


LIC809 (FAS) - (06/04)
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