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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105022
Report Date: 09/29/2022
Date Signed: 09/29/2022 11:27:04 AM

Document Has Been Signed on 09/29/2022 11:27 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TEMPLE SOLEL EARLY CHILDHOOD CENTERFACILITY NUMBER:
376105022
ADMINISTRATOR:LESLIE SCHECKFACILITY TYPE:
830
ADDRESS:3575 MANCHESTER AVENUETELEPHONE:
(760) 944-1285
CITY:CARDIFF BY THE SEASTATE: CAZIP CODE:
92007
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
09/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Leslie ScheckTIME COMPLETED:
10:30 AM
NARRATIVE
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On 9/29/22 at 10:00 AM , LPAs Annette Sutherland and Patrick Ma made an unannounced Case Management Inspection due to reported Lead Exceedance levels in the facility's water. LPAs met with Director, Leslie Scheck. There were 5 infants and 2 staff present in one room.

Water outlet reported with 5.5 ppb or greater lead exceedance levels as follows:

Sink Faucet - Classroom 1 (21.00 UG/L)

LPAs observed "out of order" sign being posted by the sink faucet during visit. Originally Director submitted picture of sink faucet that was taped off and had out of order sign taped but has since replaced the faucets and began using them prior to retesting results.
Director stated she is still waiting for the retest results and will no longer use the sinks until the results show the sink faucet is below the exceedance lead level.

See LIC 809D for Type A deficiency.

LPA Annette Sutherland and LPA Patrick MA informed facility representative Leslie Scheck that this report dated 9/29/22 documents 1 Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Annette Sutherland and Patrick MA informed the facility representative Leslie Scheck to provide a copy of this licensing report dated 9/29/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
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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Document Has Been Signed on 09/29/2022 11:27 AM - It Cannot Be Edited


Created By: Annette Sutherland On 09/29/2022 at 10:29 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TEMPLE SOLEL EARLY CHILDHOOD CENTER
FACILITY NUMBER: 376105022

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/29/2022
Section Cited

1017000.3(b)(1)

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101700.3(b)(1) Written Directives per AB2370: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:
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Director reported, sink faucets in exceedance was replaced, and posted a "Do not use" sign until the results in the retest are lower than the exeedance level.
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Based on water testing results and interviews, facility tested over the Lead Exceedance level at 1 infant sink faucet measuring at 21.0 ppb. Director stated the faucet has been used to fill filtered Brita water pitchers and use the faucet for food prep in the past. This poses an immediate/potential health, safety or personal rights risk to children in care.
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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:Monica Cuddy
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022


LIC809 (FAS) - (06/04)
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