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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002595
Report Date: 10/31/2023
Date Signed: 10/31/2023 02:55:46 PM

Document Has Been Signed on 10/31/2023 02:55 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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LA PICCOLA SCUOLA ITALIANAFACILITY NUMBER:
384002595
ADMINISTRATOR:LENTINI, FEDERICAFACILITY TYPE:
850
ADDRESS:851 TENNESSEE STREETTELEPHONE:
(415) 558-9006
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 45DATE:
10/31/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Megan ReedTIME COMPLETED:
03:00 PM
NARRATIVE
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On October 31, 2023, Licensing Program Analysts (LPA)s Garcia and Tso conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPAs met with director Megan Reed. LPAs explained the purpose of the visits and was given a tour of the facility. The two adjacent facilities' water was tested for lead on February 7,2023 under La Scuola International School (384002073). The adjacent school is on a different address, 851 Tennessee Street under La Piccola Scuola Italiana (384002595). Both facilities are present in the facility sketch for lead water testing documents.
Present in the facility are 45 children, with 7 staff members during nap time.

LPAs discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers 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.

The facility received the ALE report from the Vendor on February 7, 2023. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and barricaded and or made the affected fixture inaccessible for children. The affected fixture under this license is fixture I (7.8), which is a mechanical/utility room sink where the kids can't access. Fixture E (9.7) is an art room sink used for washing art materials under the license number 384002595. Per director, there was a labeling issue on the first test and another fixture 'D' was above the threshold but not uploaded to the database. According to the director, fixture 'D' was replaced anyway and all three fixtures are currently being flushed for three weeks, until the facility has a retest date. Per the Director, the facility is also using other water sources that passed the lead water testing for food preparation and ingestion/refill. The "water pitchers" being used have lead filters installed.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), in an email to the LPA.

* See next page for deficiencies cited today

This report was reviewed and signed by Director, Megan Reed.

This notice of Site visit was provided to the licensee and must remain posted for 30 days.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2023
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 10/31/2023 02:55 PM - It Cannot Be Edited


Created By: Man Tso On 10/31/2023 at 01:59 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LA PICCOLA SCUOLA ITALIANA
FACILITY NUMBER: 384002595

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/01/2023
Section Cited

101700.3

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101700.3 California Lead Action Level at Child Care Centers (b)(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:
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The facility replaced the affected fixtures and are flushing for three weeks. The facility will schedule a retest with the certified water samplers. Director will submit a date for retest and update the LPA for the retest results, once available.
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Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source. This poses a potential health, safety, or personal rights risk to persons in care.
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The retest results will be forwarded to the department by set due date.


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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:Ali Zebila
LICENSING EVALUATOR NAME:Man Tso
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2023


LIC809 (FAS) - (06/04)
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