KIDS KARE CENTRAL WEST

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 01/23/23 Licensing Program Analyst (LPA) Araceli Gibson and Licensing Program Manager (LPM) Juvenal Moctezuma conducted an unannounced case management inspection. LPA met with Leslie Egetain, Director for the purpose of conducting a case management inspection, regarding a 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 Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from Child Care Center Lead Sampling and Reporting Tool and self reported information to licensee #100400328 an outlet is impacted with an (ALE) of 140.000 ppb in outlet D. This result indicates out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlet has temporarily been made inoperable and is in the planning stages of repair. Director agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler. Director stated children are provided water from a potable source from kitchen sink and have cups available. Potable water is also made available to visitors and staff during hours of operation. Facility will post results for parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition, parents and guardians will be by letter and verbally 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, 809 D). Director was provided a copy of appeal rights. An exit interview was conducted. 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: Juvenal Moctezuma LICENSING EVALUATOR NAME: Araceli Gibson LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023 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 FACILITY NAME: KIDS KARE CENTRAL WEST FACILITY NUMBER: 100400328 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/23/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 02/23/2023 Section Cited 101700.3 1 2 3 4 5 6 7(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.1 2 3 4 5 6 7Director agrees to submit evidence of replacement and remediation on outlet D testing at or below Action Level by POC due date 02/23/23. Director agrees to notify parents and guardians and posted (ALE) results for 30 days at a reasonable location for Authorized Representatives to review as soon as possible. 8 9 10 11 12 13 14This requirement was not met evidence by: Based on record review provided by licensee indicating (ALE) of 140.000 ppb in outlet D These results indicate out of compliance over (ALE) 5.5 ppb, which poses a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Juvenal Moctezuma LICENSING EVALUATOR NAME:Araceli Gibson LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 01/23/23 Licensing Program Analyst (LPA) Araceli Gibson and Licensing Program Manager (LPM) Juvenal Moctezuma conducted an unannounced case management inspection. LPA met with Leslie Egetain, Director for the purpose of conducting a case management inspection, regarding a 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 Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from Child Care Center Lead Sampling and Reporting Tool and self reported information to licensee #100400328 an outlet is impacted with an (ALE) of 140.000 ppb in outlet D. This result indicates out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlet has temporarily been made inoperable and is in the planning stages of repair. Director agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler. Director stated children are provided water from a potable source from kitchen sink and have cups available. Potable water is also made available to visitors and staff during hours of operation. Facility will post results for parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition, parents and guardians will be by letter and verbally 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, 809 D). Director was provided a copy of appeal rights. An exit interview was conducted. 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: Juvenal Moctezuma LICENSING EVALUATOR NAME: Araceli Gibson LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023 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 FACILITY NAME: KIDS KARE CENTRAL WEST FACILITY NUMBER: 100400328 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 01/23/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Request Denied Type B 02/23/2023 Section Cited 101700.3 1 2 3 4 5 6 7(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.1 2 3 4 5 6 7Director agrees to submit evidence of replacement and remediation on outlet D testing at or below Action Level by POC due date 02/23/23. Director agrees to notify parents and guardians and posted (ALE) results for 30 days at a reasonable location for Authorized Representatives to review as soon as possible. 8 9 10 11 12 13 14This requirement was not met evidence by: Based on record review provided by licensee indicating (ALE) of 140.000 ppb in outlet D These results indicate out of compliance over (ALE) 5.5 ppb, which poses a potential health, safety, or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Juvenal Moctezuma LICENSING EVALUATOR NAME:Araceli Gibson LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2023