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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414613
Report Date: 01/27/2025
Date Signed: 01/27/2025 01:14:39 PM

Document Has Been Signed on 01/27/2025 01:14 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SUNNY DAYS PRESCHOOLFACILITY NUMBER:
434414613
ADMINISTRATOR/
DIRECTOR:		JESSICA SOLCHENBERGERFACILITY TYPE:
850
ADDRESS:897 BROADLEAF LANETELEPHONE:
(408) 625-6198
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 3DATE:
01/27/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Karen KennanTIME VISIT/
INSPECTION COMPLETED:
01:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Marilou Monico conducted an unannounced Case Management- Lead Testing/Exceedance inspection. LPA met with Karen Kennan, Executive Director, and explained the reason for the inspection. LPA reviewed water sample summary and requested Karen to identify Sink "C" with reported Action Level Exceedance of lead that is 5.5 parts per billion (ppb) or greater.

LPA toured the facility. LPA observed Sink "C" which is the faucet with a drinking fountain next to it located in the Indoor Sensory Gym. LPA observed that there are signs "Do Not Use this Sink" and "Do Not Use this Drinking Fountain" on Sink "C". Executive Director stated that the children ceased using Sink "C". Executive Director stated that the children use water from the sink in the Main Office and Preschool Classroom 1 for drinking purposes. For hand washing, the children use the sinks in the bathrooms. Executive Director stated that there is no food preparation at the facility. Parents bring snacks and lunch for their children.

The following documents were submitted to analyst during today's inspection:
1) Self-Certification (LIC9275) completed by Certified External Water Sampler
2) Sampling Checklist Form (LIC9276)
3) Facility Sketch (LIC999) labeled with locations of water outlets that were tested
4) Water Sample Summary

As a result of this inspection, a Type B citation was issued.

Exit interview was conducted and report was reviewed with Executive Director, Karen Kennan.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2025
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 01/27/2025 01:14 PM - It Cannot Be Edited


Created By: Marilou Monico On 01/27/2025 at 12:18 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SUNNY DAYS PRESCHOOL
FACILITY NUMBER: 434414613

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/17/2025
Section Cited
CCR
101700.3(b)(1)

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Lead Testing Written Directives. 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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By POC due date: 02/17/25, Karen stated that she will contact a licensed plumber to turn off the water supply, inspect the sink connectors and ensure that all fittings/solder are lead free and get the outlets retested. Karen will submit proof to Licensing.
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Sink "C" had a result of 8.65 ppb. This poses a potential health and safety 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:Joel Segura
LICENSING EVALUATOR NAME:Marilou Monico
LICENSING EVALUATOR SIGNATURE:
DATE: 01/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/27/2025


LIC809 (FAS) - (06/04)
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