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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000311
Report Date: 06/03/2024
Date Signed: 06/03/2024 03:11:06 PM

Document Has Been Signed on 06/03/2024 03:11 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LA JOLLA PRESBYTERIAN CHURCH PRESCHOOLFACILITY NUMBER:
372000311
ADMINISTRATOR/
DIRECTOR:
BARBARA ETIENNEFACILITY TYPE:
850
ADDRESS:7715 DRAPER AVENUETELEPHONE:
(858) 454-2677
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: DATE:
06/03/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Barbara EtieneTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On 06/03/24 at 1:20 PM, LPA Sherlynn Banas made an unannounced CASE MANAGEMENT inspection, for reported Lead Exceedance. LPA met with Director, Barbara Etiene. Facility has 5 classrooms but 3 were only used. There were no staff and teachers present at the time of inspection. LPA examined the water outlet deemed an Action Level Exceedance.

LPA Banas asked if the sink was never used for food preparation and drinking. Director stated it was never used for food preparation and drinking purposes. The sink was not working for a year before the testing. There was a STOP sign that indicates that it is not in use. Before it was broken, it is only used for hand washing. Director clarified that Room C was used as an after-school room with 8 children at the most and not used as a regular preschool classroom. After the testing, the sink was totally shut off. Director stated that she is waiting for a retest.

Director states that school will closed for the summer. Retest for the faucet will be done over the summer. She will notify LPA Banas through email for the result of the retest.

Per the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs). Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

On 05/30/2024, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and 19 samples were collected on 02/14/2024.

Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels is as follow:

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LA JOLLA PRESBYTERIAN CHURCH PRESCHOOL
FACILITY NUMBER: 372000311
VISIT DATE: 06/03/2024
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The school administrator stated that the plumber has fixed the issue since she and the staff have not been using it. The exceedance level is .1.

Sample Site D - Sink faucet in Room C- facility immediately discontinued the use of the faucet for any food preparation or drinking purpose. A sign saying "STOP- Water faucet out of order" has been placed at the faucet.

Exit interview conducted and report was reviewed with the Barbara Etiene. Appeal Rights was given and a Notice of Site visit must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024
LIC809 (FAS) - (06/04)
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