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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808369
Report Date: 02/27/2023
Date Signed: 02/27/2023 02:28:51 PM

Document Has Been Signed on 02/27/2023 02:28 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:STEPPING STONES PRESCHOOLFACILITY NUMBER:
543808369
ADMINISTRATOR:SIGMUND, ANDREAFACILITY TYPE:
850
ADDRESS:5200 W CALDWELLTELEPHONE:
(559) 734-7157
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 36DATE:
02/27/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Deanne Zapasnik and Andrea SigmundTIME COMPLETED:
02:45 PM
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On 2/27/2023, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Case Management inspection and met with Director Deanne Zapasnik and Licensee Andrea Sigmund. 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.

Fresno South Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test conducted on 1/14/2023. Based on records reviewed from Child Care Center Lead Sampling and Reporting Tool two outlets are impacted with an (ALE). Outlets identified as follows: Outlet C drinking (R) faucet with an (ALE) of 19.000 ppb, and Outlet E drinking (R) faucet with (ALE) of 11.000 ppb.

These results indicates out of compliance of over (ALE) 5.5 ppb. (See Plan of correction for further corrective action LIC 809-D). The 2 outlets and have been made temporarily inoperable. Director Zapasnik agrees to continue with the re-sampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler.

Director stated children are provided water from the additional left faucets that tested with a "none detected" lead level that are in the same classrooms. Facility will post results for parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition, parents and guardians will be notified by letter of the (ALE ) Per PIN 21-21-1 CCP WD 101704 (b)(3).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a type B deficiency is being cited: (see next page, LIC 809-D). An exit interview was conducted with Deanne Zapasnik A Notice of Site Visit (LIC 9213) and copy of Appeal Rights was provided. This report shall be made available to the public upon request. The LIC 9213 Notice of Site Visit is required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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 02/27/2023 02:28 PM - It Cannot Be Edited


Created By: Theresa Marquez On 02/23/2023 at 04:07 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: STEPPING STONES PRESCHOOL
FACILITY NUMBER: 543808369

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2023
Section Cited

101700.3

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(a) CALIFORNIA'S ACTION LEVEL FOR LEAD in water at Child Care Centers is 5 ppb.(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. Testing results with fractional ppb readings of less than 0.5 ppb shall be rounded down to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
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Director agrees to submit evidence of replacement and remediation on outlets (C, E) in the classrooms testing at or below Action Level by POC due date 3/27/2023. Director agrees to notified parents and guardians and posted (ALE) results at a reasonable location for Authorized Representatives to review as soon as possible.
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This requirement was not met evidence by: Based on record review of the Child Care Center Lead Sampling and Reporting Tool and the Director's interview indicating (ALE) impacting 2 outlets identified as (C, E). These results are out of compliance over (ALE) 5.5 ppb, which 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Theresa Marquez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2023


LIC809 (FAS) - (06/04)
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