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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603019
Report Date: 01/13/2023
Date Signed: 01/13/2023 02:35:13 PM

Document Has Been Signed on 01/13/2023 02:35 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - PURSLANE (PRESCHOOL)FACILITY NUMBER:
343603019
ADMINISTRATOR:DEETS, PAMELAFACILITY TYPE:
850
ADDRESS:6825 PURSLANE WAYTELEPHONE:
(916) 723-9696
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 50DATE:
01/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lucille VargasTIME COMPLETED:
02:50 PM
NARRATIVE
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On Friday, January 13, 2023 LPA L. Habtom arrived at Kindercare for an unannounced case management visit. There were 50 preschool children in classrooms 2's, 3's and 4's being supervised by 8 staff members. LPA L. Habtom met with assistant director Lucille to address the lead level results in exceedance of 5 parts per billion for 6 faucets in the kitchen, school age & preschool classrooms. Assistant director Lucille states prior to receiving the results the faucets were used as a drinking source. Once the assistant director was made aware of the level exceedance all the faucet fixtures were replaced and each classrooms were provided with water jugs with spickets. The faucets in the classrooms are only used to wash hands. The faucet in the kitchen was replaced and covered until second sampling clears the faucet. The facility is waiting for a return visit to test the water source after replacing the faucet. Lucille will keep LPA L. Habtom informed of the outcome, time frame and work needed in order to be in compliance with the lead levels. Director was notified to only use water faucets at the center to wash hands.

Title 22 regulations were cited on 809-D. Notice of site visit provided and appeal rights.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2023
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 01/13/2023 02:35 PM - It Cannot Be Edited


Created By: Lea Habtom On 01/13/2023 at 01:48 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - PURSLANE (PRESCHOOL)
FACILITY NUMBER: 343603019

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/13/2023
Section Cited

101700.3(b)

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Written Directives 100700.3(b): 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
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The facilty replaced all faucets, covered the kitchen sink faucet and provided water jugs with water spickets for drinking. All faucets in the classrooms are only being used to wash hands. Facility will have all faucets retested and will provide LPA L. Habtom with results.
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whole number, before comparing to the Action Level.
This requirement was not met as evidenced by: 6 faucets that tested for lead over the approved amount of 0.5 ppb which is a potential risk to the health and safety of children.
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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:Keven Peters
LICENSING EVALUATOR NAME:Lea Habtom
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023


LIC809 (FAS) - (06/04)
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