<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806459
Report Date: 02/16/2023
Date Signed: 02/16/2023 11:14:59 AM

Document Has Been Signed on 02/16/2023 11:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ST. JEANNE DE LESTONNAC SCHOOLFACILITY NUMBER:
334806459
ADMINISTRATOR:ERNA CORTEZFACILITY TYPE:
850
ADDRESS:32650 AVENIDA LESTONNACTELEPHONE:
(951) 587-2505
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 94TOTAL ENROLLED CHILDREN: 94CENSUS: 49DATE:
02/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Erna CortezTIME COMPLETED:
11:25 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On February 16, 2023 at 10:15 AM, Licensing Program Analyst (LPA), Jessica Rubio, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with Director Erna Cortez, who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers constructed before January 1, 2010, to test their drinking and cooking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. LPA observed on the report provided by the SWRCB the Sink (Faucet I) identified as having high levels of lead.

The faucet is located in the TK classroom. The Director Erna Cortez, stated she had not yet received the sampling results as of this date. Once informed by LPA, Director immediately covered the sink faucet and placed it out of service.

Interviews with Director and staff revealed the sink faucet is not used for drinking water nor for preparing food and is only used for hand washing.

The facility is being cited. See LIC 809D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12 written directives.

An exit interview was conducted with Director Erna Cortez. A copy of this report, appeal rights and a Notice of Site Visit was also provided.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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
Document Has Been Signed on 02/16/2023 11:14 AM - It Cannot Be Edited


Created By: Jessica M Rubio On 02/16/2023 at 10:58 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ST. JEANNE DE LESTONNAC SCHOOL
FACILITY NUMBER: 334806459

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2023
Section Cited

101700.3(b)(1)

1
2
3
4
5
6
7
California Lead Action Level at Child Care Centers(b) Testing results with fractional ppb readings of 0.5 ppb or greater...before comparing to the Action Level. (1) 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
7
Director immediately placed the faucet out of service and stated the faucet will be replaced and/or retested.
8
9
10
11
12
13
14
LPA Rubio received the facilities water testing results for Sink Faucet I with an Action Level Exceedance higher than the allowable limit.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
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:Pauline Beschorner
LICENSING EVALUATOR NAME:Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2