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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624055
Report Date: 09/29/2022
Date Signed: 09/29/2022 11:17:13 AM

Document Has Been Signed on 09/29/2022 11:17 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SETA SPINELLI HEAD STARTFACILITY NUMBER:
343624055
ADMINISTRATOR:FILES, BREANNONFACILITY TYPE:
850
ADDRESS:3401 SCOTLAND DRTELEPHONE:
(916) 263-3737
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 20TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
09/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Yolanda Jones-HankersonTIME COMPLETED:
11:30 AM
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Licensing Program Analysts (LPA) Fabiola Diaz and Karyn Guerra met with Facility Representative Yolanda Jones-Hankerson for an unannounced Case Management Inspection. LPAs observed there were currently 4 children in care with 2 staff.

The purpose of today’s inspection was to follow up regarding water sampling that indicated Action Level Exceedance (ALE) for water faucets that were tested for lead levels on 5/17/22. Department was notified by Betsy Uda on 6/7/22 that water levels were in exceedance of 5 parts per billion. Faucets A, B, and C were in lead level exceedance. Faucets were retested on 7/13/22 and Faucets A and B were still in lead level exceedance. Facility is still in the process of clearing the lead levels exceedance.

LPAs observed a water dispenser in the classroom. Yolanda stated that the facility has been using the water dispenser for drinking water, and they fill a water jug to take outside with disposable cups. Yolanda explained that the faucets have never been used for water consumption.

LPAs informed the Facility Representative that Grant funding for testing and remediation is available referenced from Provider Information Notice (PIN) 21-04-CCP.

No deficiencies were cited today. LPA reviewed this report with the Facility Representative and conducted an exit interview. A Notice of Site Visit was provided and should remain posted for 30 days.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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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