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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212538
Report Date: 11/22/2022
Date Signed: 11/22/2022 01:56:15 PM

Document Has Been Signed on 11/22/2022 01:56 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KINDERCARE LEARNING CENTER WLVFACILITY NUMBER:
566212538
ADMINISTRATOR:SARAH HUTSONFACILITY TYPE:
840
ADDRESS:917 HAMPSHIRE RD.TELEPHONE:
(805) 495-0851
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91361
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Sarah HutsonTIME COMPLETED:
02:10 PM
NARRATIVE
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On November 22, 2022 at 12:40 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPA met with facility Director, Sarah Hutson and advised her the purpose of the inspection. Director provided LPA a tour of the facility. There were no children in care at the time of the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101704, which may include remediation.

The Regional Office received an ALE for one (1) water outlet in this facility. The Center was notified by LPA Villanueva of the results on November 21, 2022, by phone. LPA advised Director that location (E) had an ALE of 10.0 ppb. Director advised the location has been secured preventing children/staff from having access.

During today’s inspection, LPA toured the facility and inspected the outlet in question. LPA observed that the outlet was secured with a covering wrapped around it. The outlet was a drinking fountain in the classroom. Director advised that the outlet has been closed since Covid-19 began. Prior to Covid-19 the outlet was used for drinking water. Director advised parents have not been informed of the lead testing results since first being informed yesterday by LPA. LPA advised parents need to be informed of the exposure and the notice provided to Community Care Licensing (CCL). Director informed LPA that they did receive the replacement fountains for the classrooms.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 566212538
VISIT DATE: 11/22/2022
NARRATIVE
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Director informed LPA that they did receive the replacement fountain for the classroom. Director advised facility maintenance must have ordered it last week when they were at the facility. Director informed LPA a local plumber will be here on Friday November 25, 2022, to replace the water fountains. LPA advised Director that once the outlets are replaced, they must be retested to ensure the ALE's have been corrected. Until then the fountains must remain secured preventing children from having access.

LPA provided a copy of PUB 515 and discussed the need for the Center to share this with families, discussed a plan of correction with the director and informed director the Plan of Correction for lead exceedances must include notification of parents and information about what has been done (their current response, such as water fixture put out of use, and how is water provided) and remediation plans for all water outlets.

LPA's shared the following resources quick references:

Quick references:
· PIN 22-06-CCP - Lead Testing in Child Care Centers – Frequently Asked Questions
· PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370

A type B deficiency is being cited today. See attached 809D.

Exit interview conducted and report was reviewed with the Director. Appeal rights were provided to Director.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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Document Has Been Signed on 11/22/2022 01:56 PM - It Cannot Be Edited


Created By: Francisco Pedroza On 11/22/2022 at 12:58 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 566212538

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/22/2022
Section Cited

101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers
(b) Testing results with fractional ppb readings of 0.5 ppb or greater ... the Action Level.
(1) A result with values of 5.5 ppb ... shall be deemed an Action Level Exceedance.
This requirement is not met as evidenced by:
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Facility has taken the following steps: Shutoff and labeled the one (1) outlet, will notify parental notification of the water testing results, replace the outlet and will be retesting to see if corrected. Facility has until 12/22/2022 to correct the deficiencies or have a reasonable plan to correct them and notify CCL.
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Facility conducted water lead testing and had one (1) outlet exceed the action level exceedance per regulations. This poses a potential risk to the health and safety of the 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:Maria Mueller
LICENSING EVALUATOR NAME:Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:
DATE: 11/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2022


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