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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408383
Report Date: 05/15/2024
Date Signed: 05/15/2024 12:17:00 PM

Document Has Been Signed on 05/15/2024 12:17 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:SIERRA DEL ORO INCLUSIVE STATE PRESCHOOLFACILITY NUMBER:
045408383
ADMINISTRATOR/
DIRECTOR:		TYLER, KIMBERLYFACILITY TYPE:
860
ADDRESS:2900 WYANDOTTE AVETELEPHONE:
(530) 532-5690
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 37TOTAL ENROLLED CHILDREN: 37CENSUS: 9DATE:
05/15/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Jessica Wood, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
NARRATIVE
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On 5/15/24 at 11:20am, Licensing Program Analyst (LPA) Erica Laird made a case management inspection and met with director Jessica "Jessi" Wood. 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) of lead in the water:

Faucet “G” – Classroom 4 fountain, 22.6ppb
Faucet “O” – Hallway fountain, 5.71ppb
Faucet "N" - Multi-purpose fountain 2, 57.4ppb

The licensee has made the faucet(s) inaccessible by turning off the water, bagging the faucet and postings signs. The facility is discussing plans to replace and retest or to permanently remove the faucets. Children in care are receiving drinking water by bringing water from home and through available fountains that did not show exceedances.

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 director, Jessica Wood.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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 05/15/2024 12:17 PM - It Cannot Be Edited


Created By: Erica Laird On 05/15/2024 at 11:52 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
, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: SIERRA DEL ORO INCLUSIVE STATE PRESCHOOL
FACILITY NUMBER: 045408383

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2024
Section Cited
HSC
101700.3(b)(2)

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Licensees shall maintain a lead value at or below the Action Level of 5.5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement was not met as evidenced by:

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The licensee has made the faucets temporarily inaccessible by turning off the water, bagging the faucet, and posting signs. The facility is discussing plans to replace and retest the faucets or to premanently remove the faucets. This decision shall be made by 5/24/24 and conveyed to LPA E. Laird.
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Based on record review, the facility had 3 faucet(s) with lead test results exceeding 5.5 ppb of lead in the water. This is a potential health and safety risk to children in care.
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For faucets that will be retested, retesting documents shall be submitted within 2 weeks of the completed sampling. For faucets that will be permanently removed, photos of the removed faucet shall be sent to erica.laird@dss.ca.gov by 6/15/24.

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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:Megan Aviles
LICENSING EVALUATOR NAME:Erica Laird
LICENSING EVALUATOR SIGNATURE:
DATE: 05/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2024


LIC809 (FAS) - (06/04)
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