TEHAMA STREET CHILDREN'S CENTER-TODDLER PROGRAM

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 3/9/23 at 11:05 AM, Licensing Program Analyst (LPA) J. Helton and P. Digenovia made a case management inspection and met with Sherry Callahan. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb or greater) of lead in the water: Drinking Faucet B tested at 13 All faucets were covered and turned off until corrective actions were completed. The licensed area is currently inactive, therefore children do not have access to the faucet. The following deficiency is being cited (see LIC 809D). A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Site Supervisor Sherry Callahan.. SUPERVISORS NAME: Erin Virrueta LICENSING EVALUATOR NAME: Jackie Helton LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023 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: TEHAMA STREET CHILDREN'S CENTER-TODDLER PROGRAM FACILITY NUMBER: 115401511 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/09/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/10/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action Level at Child Care Centers - 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: 1 2 3 4 5 6 7Faucets has been shut/taped off and is not in use. Facility plans to replace the faucet and retest. 8 9 10 11 12 13 14Based on record review, the facility had 1 faucet with lead test results at or exceeding 5.5 ppb of lead in the water. This is a potential health and safety risk to children 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:Erin Virrueta LICENSING EVALUATOR NAME:Jackie Helton LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023

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 3/9/23 at 11:05 AM, Licensing Program Analyst (LPA) J. Helton and P. Digenovia made a case management inspection and met with Sherry Callahan. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb or greater) of lead in the water: Drinking Faucet B tested at 13 All faucets were covered and turned off until corrective actions were completed. The licensed area is currently inactive, therefore children do not have access to the faucet. The following deficiency is being cited (see LIC 809D). A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Site Supervisor Sherry Callahan.. SUPERVISORS NAME: Erin Virrueta LICENSING EVALUATOR NAME: Jackie Helton LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023 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: TEHAMA STREET CHILDREN'S CENTER-TODDLER PROGRAM FACILITY NUMBER: 115401511 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/09/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/10/2023 Section Cited HSC 101700.3(b)(1) 1 2 3 4 5 6 7101700.3(b)(1) California Lead Action Level at Child Care Centers - 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: 1 2 3 4 5 6 7Faucets has been shut/taped off and is not in use. Facility plans to replace the faucet and retest. 8 9 10 11 12 13 14Based on record review, the facility had 1 faucet with lead test results at or exceeding 5.5 ppb of lead in the water. This is a potential health and safety risk to children 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:Erin Virrueta LICENSING EVALUATOR NAME:Jackie Helton LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023