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What you need › Webinar notes › CDSS Community Care Licensing

Lead and Licensed Child Care Facilities

2023-09-12Special webinar29:56 long

Presented September 2023. Rules and deadlines may have changed since; check Rules & laws for the current version.

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The state licensing office's 2023 webinar on lead: health risks, the family flyer, lead prevention training, and water lead testing for child care centers.

Who it’s for

  • Child care centers
  • Licensed family child care homes

3 things to know

  1. Centers built before 2010 had to test drinking and cooking water for lead by January 1, 2023, then every five years.✓ checked
  2. Family child care homes don't have to test water, but every provider must give families the lead flyer (PUB 515).
  3. If a faucet tests high, block it, provide other water, and tell your regional office right away.Current rule: outlets at or above 5.5 ppb must be removed from service (PIN 26-05-CCP). current rule

Do this

Centers: note when your first lead test was done and schedule the retest for five years after it.✓ checked

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Session notes

In the order it was presented. Open any part.

Welcome and agenda
  • The Child Care Advocates held this webinar on lead on September 12, 2023.✓ checked
  • The agenda covered AB 2370 (Chapter 676, Statutes of 2018), harm from lead, lead education and lead testing requirements.✓ checked
Facts about lead
  • The presenter said there is no known safe level of lead in the body, and that children under six, including infants, are most at risk.▶ 00:01:19
  • The presenter said lead's effects on children cannot be reversed.▶ 00:06:07
AB 2370 key requirements
  • AB 2370 requires information for families about lead poisoning, lead prevention training, and water lead testing.✓ checked
  • The presenter said both homes and centers must give families the informational flyer about lead poisoning.▶ 00:02:55
The lead flyer (PUB 515)
  • The Lead Poisoning Facts Flyer is PUB 515. The presenter said it must be given to families when their child enrolls.▶ 00:04:59
Health risks and symptoms
  • Most children with lead poisoning may not look or act sick, and symptoms may be mistaken for common childhood complaints.✓ checked
  • The presenter said children can get a blood lead test, and that it is free with (as captioned) 'medical'.▶ 00:07:36
  • CDPH's Childhood Lead Poisoning Prevention Branch: (510) 620-5600.✓ checked
Lead in our environment
  • Sources of lead include old paint, soil, gasoline, plumbing materials and water.✓ checked
  • The presenter said testing is the only way to know if tap water has lead.▶ 00:09:10
Lead prevention training
  • For licenses issued after July 1, 2020, the Preventive Health and Safety course must include lead prevention (PIN 22-13-CCP).✓ checked
  • The presenter said new applicants and at least one director or teacher need proof of completing the course.▶ 00:11:11Coming October 1, 2027: all staff providing care in a center or family child care home, and substitute adults in homes, must have current pediatric first aid and CPR and at least 16 hours of health and safety training (PIN 26-11-CCP, checked 2026-09-29). current rule
  • The presenter said you don't have to retake a course taken before lead was added, unless it was before July 1, 2020 and you're applying for a new license or change of location. There is no longer a standalone lead course.▶ 00:10:33
Lead testing: AB 2370 details
  • Under Health and Safety Code section 1597.16, licensed centers built before January 1, 2010 had to test their water for lead by January 1, 2023, then retest every five years after the first test.✓ checked
  • Only centers must test drinking and food preparation water. The requirement does not apply to family child care homes.✓ checked
  • The presenter said newly licensed centers must test within 180 days of licensure, and that testing is not a pre-licensing requirement.▶ 00:11:55
Child care center water testing: who, what, how often
  • The presenter cited a May 2023 Environmental Working Group study: one in four California child care centers had at least one outlet with an exceedance (heard in auto captions).▶ 00:12:46
  • The presenter said to test cold water faucets, fountains, filtered water dispensers and refrigerator water dispensers, meaning any faucet used for drinking or cooking.▶ 00:13:38
  • The presenter said if a result equals or exceeds 5.5 ppb, you can fix the faucet or take it out of service. The slides define an exceedance as more than 5 ppb.▶ 00:14:11Current rule: outlets at or above 5.5 ppb must be removed from service (PIN 26-05-CCP). current rule
Lead testing PINs and certified samplers
  • Lead testing PINs: 20-01-CCP (water lead testing in centers), 21-21.1-CCP (written directives), 22-20-CCP (resources and requirements) and 22-06-CCP (FAQs).✓ checked
  • Labs must be ELAP-accredited. PIN 21-04-CCP covers state and federal funding for testing and remediation.✓ checked
Preparing for water sampling
  • The presenter said to test only faucets used for drinking or food preparation. If you test another faucet and it exceeds, you still have to fix it.▶ 00:18:05
  • Sampling can't happen during extended breaks, and every water outlet, sampled or not, goes on the facility map.✓ checked
  • Don't use any water source for 8 to 18 hours before sampling. The presenter said if water is used within eight hours before the appointment, it must be cancelled and rescheduled, and night sprinklers must be turned off.▶ 00:18:49
  • The presenter said the most common source of lead in water has been an older fixture.▶ 00:20:01
  • The presenter said a center with no outlets used for children's drinking or food preparation should call its regional office; exemptions are case by case.▶ 00:22:53
Forms and exceedances
  • The lead packet: LIC 9275 (sampler self-certification), LIC 999 (facility sketch) and LIC 9276 (sampling checklist).✓ checked
  • The presenter said to send the completed, signed documents to the regional office within two weeks of sampling, and post results for parents within 24 hours of receiving them.▶ 00:19:25
  • With an exceedance, the packet also includes the certification of results and photos of each source matching the LIC 999 labels.✓ checked
  • The presenter said an outlet that exceeds must be made inaccessible, another water source provided, the regional office notified right away, and a notice of exceedance posted and given to parents.▶ 00:23:28
Help, updates and upcoming webinars
  • Lead testing questions: [email protected].✓ checked
  • The presenter said you can join the distribution list to get PINs and Quarterly Updates by email.▶ 00:26:32
  • Upcoming provider webinars were September 26 and December 12, 2023, at 6:00 p.m. (both now past).✓ checked
  • Contacts: Child Care Advocate Program, Technical Support Program, and Child Care Assistance at (800) 543-7793.✓ checked

Links and what’s next

Where this comes from

Written from the sources below. It is not an official record of any agency, host or presenter. Links like ▶ 00:41:10 jump to that moment in the recording. ✓ checked means an official source confirms it; ⚠ check means an official source seems to say something different. Everything else is as the presenter said it.

Every fact and its source (58, 32 checked)
What was saidWhenChecked?
The webinar was held September 12, 2023.
September 12, 2023
✓ checked
slide 1
Stated on the official slides Something wrong?
AB 2370 (Chapter 676, Statutes of 2018) is the law behind the lead requirements.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018.
✓ checked
slide 13
Stated on the official slides Something wrong?
AB 2370's key requirements: information for parents and families about lead poisoning, lead prevention training, and water lead testing.
Provides information for parents and fam ilies about lead poisoning • Lead prevention training • Water lead testing
✓ checked
slide 6
Stated on the official slides Something wrong?
The presenter said both family child care homes and centers must give families the informational flyer about lead poisoning.
according to this bill providers both home and Care Center are required to provide families with the informational flyer about lead poisoning
▶ 00:02:55as said Something wrong?
The presenter said the flyer must be given to families when a child enrolls.
you are required to provide the flyer to families upon enrollment into your facility
▶ 00:04:59as said Something wrong?
The flyer is the Lead Poisoning Facts Flyer, PUB 515.
Lead Poisoning Facts Flyer or PUB 515
✓ checked
slide 7
Stated on the official slides Something wrong?
The CDPH Childhood Lead Poisoning Prevention Branch can be called at (510) 620-5600.
Prevention Branch’s website call them at (510) 620-5600.
✓ checked
slide 10
Stated on the official slides Something wrong?
Most children with lead poisoning may not look or act sick, and symptoms may be confused with common childhood complaints.
soning may not look or act sick. • Symptoms, i f any, may be confused with common childhood complaints.
✓ checked
slide 10
Stated on the official slides Something wrong?
The presenter said there is no known safe level of lead in the body.
there is no known safe level of lead in the body
▶ 00:01:19as said Something wrong?
The presenter said children under six, including infants, are most at risk.
children under six years old including infants are most
▶ 00:01:38as said Something wrong?
Sources of lead in the environment include old paint, soil, gasoline, plumbing materials and water.
Old Paint • Soil • Gasoline • Plumbing Materials • Water
✓ checked
slide 11
Stated on the official slides Something wrong?
If a license is issued after July 1, 2020, the Preventive Health and Safety Training must include lead prevention.
If a license is issued after July 1, 2020, the Preventive Health and Safety Training must include lead prevention as part of the course.
✓ checked
slide 12
Stated on the official slides Something wrong?
PIN 22-13-CCP covers the Preventive Health and Safety course including lead exposure prevention for new applicants.
Exposure for New Applicants PIN 22-13-CCP
✓ checked
slide 12
Stated on the official slides Something wrong?
The presenter said a provider who took the course before the lead curriculum was added does not have to retake it at this time.
the provider is not required to retake the class at this time
▶ 00:10:33as said Something wrong?
The presenter said if the course was taken before July 1, 2020 and you apply for a new license or a change of location, you need the lead prevention portion.
taken prior to July 1st of 2020 and you are applying for a change of location or a new license you will need the lead prevention portion of the training
▶ 00:10:46as said Something wrong?
The presenter said there is no longer a standalone lead course; lead is part of the current Preventive Health and Safety course.
there is no longer a standalone lead course available at this time
▶ 00:11:00as said Something wrong?
Health and Safety Code section 1597.16 sets the center water lead-testing requirement.
Health and Safety Code section 1597.16 requires that all
✓ checked
slide 13
Stated on the official slides Something wrong?
Licensed child care centers constructed before January 1, 2010 had to test their water for lead by January 1, 2023.
Child Care Centers (CCCs) that were constructed before January 1, 2010, must test their water for lead by January 1, 2023
✓ checked
See the rule
slide 13
Stated on the official slides Something wrong?
Centers must retest every five years after the date of the first test.
with subsequent testing every five (5) years after the date of the first test.
✓ checked
See the rule
slide 13
Stated on the official slides Something wrong?
Only child care centers must test drinking and food preparation water for lead.
Only CCCs are required to test drinking and food preparation
✓ checked
slide 13
Stated on the official slides Something wrong?
The water lead-testing requirement does not apply to family child care homes.
The requirement does not appl y to Family Child Care Homes.
✓ checked
See the rule
slide 13
Stated on the official slides Something wrong?
The presenter said newly licensed centers must test within 180 days after being licensed.
within 180 days after being licensed
▶ 00:11:55as said Something wrong?
The presenter said lead testing is not currently a pre-licensing requirement for centers.
testing is not currently a pre-licensing requirement for child care centers
▶ 00:25:07as said Something wrong?
The presenter said outlets to test include cold water faucets, single and dual handled fountains, filtered water dispensers and refrigerator water dispensers.
cold water faucets single and dual handled fountains filtered water dispensers and Water dispensed by refrigerators
▶ 00:13:38as said Something wrong?
The presenter said to test only faucets used for drinking or food preparation; if you test another faucet and it exceeds, you must fix that faucet anyway.
if you test a faucet that isn't used for drinking or food preparation and the results come back with an exceed level of lead you will have to fix the problem in that faucet
▶ 00:18:05as said Something wrong?
The slide defines a lead action level exceedance as greater than 5 ppb.
Exceedance > 5 ppb
✓ checked
slide 21
Stated on the official slides Something wrong?
The presenter said if water equals or exceeds 5.5 ppb, you can remediate or remove the faucet from service (or retest until it no longer exceeds).
if your water tests and an equal or exceeds the level of 5.5 ppbs you have two options you can remediate or remove the faucet from service
▶ 00:14:11as said Something wrong?
Laboratories must be accredited by the Environmental Laboratory Accreditation Program (ELAP).
Laboratories must be accredited by Environmental Laboratory Accreditation
✓ checked
slide 16
Stated on the official slides Something wrong?
PIN 21-04-CCP covers state and federal funding to test center drinking water for lead and to remediate it.
PIN 21-04-CCP Availability of State and Federal Funding to Test Drinking Water
✓ checked
slide 16
Stated on the official slides Something wrong?
PIN 20-01-CCP: Water Lead Testing in Child Care Centers.
PIN 20-01-CCP Water Lead Testing in Child Care Centers.
✓ checked
slide 15
Stated on the official slides Something wrong?
PIN 21-21.1-CCP: Written Directives for Lead Testing of Water in Licensed Child Care Centers.
PIN 21-21.1-CCP Written Directives For Lead Testing of Water in Licensed Child Care Centers.
✓ checked
slide 15
Stated on the official slides Something wrong?
PIN 22-20-CCP: Resources and Requirements on Lead Testing in Child Care.
PIN 22-20-CCP Resources and Requirements on LEAD Testing in Child Care.
✓ checked
slide 15
Stated on the official slides Something wrong?
PIN 22-06-CCP: Lead Testing in Child Care Centers, Frequently Asked Questions.
PIN 22-06-CCP - Lead Testing in Child Care Centers – Frequently Asked Questions
✓ checked
slide 28
Stated on the official slides Something wrong?
Water sampling cannot happen during extended breaks.
Cannot occur during extended breaks.
✓ checked
slide 18
Stated on the official slides Something wrong?
All water outlets, including ones not sampled, must be shown on a facility map.
Water outlets, including outlets that will not be sampled, shall be i ndicated on a facility map.
✓ checked
slide 18
Stated on the official slides Something wrong?
Before sampling, no water source may be used for at least 8 to 18 hours.
All water sources are not to be used for a minimum of eight (8) t o 18 (eighteen) hours.
✓ checked
slide 18
Stated on the official slides Something wrong?
The presenter said if any water is used within eight hours before the appointment, the sampler appointment must be cancelled and rescheduled.
if any water is used within eight hours prior to the scheduled testing the C I external water sampler appointment shall be cancelled and rescheduled
▶ 00:18:49as said Something wrong?
The presenter said automated sprinklers set to run at night must be turned off the night before sampling.
if you have automated sprinklers that are set to run at night they shall be turned off the night prior
▶ 00:19:03as said Something wrong?
The lead packet documents are LIC 9275 (External Water Sampler Self-Certification), LIC 999 (Facility Sketch) and LIC 9276 (Child Care Center Sampling Checklist).
LIC 9275 External Water Sampler Self- Ce rtification • LIC 999 Facility Sketch • LI C 9276 Child Care Center Sampling Checklist Form
✓ checked
slide 20
Stated on the official slides Something wrong?
The presenter said the completed, signed documents must be sent to the regional office within two weeks of the sampling date.
a fully completed and signed copy of required documentations shall be sent to the regional office within two weeks of the complete sampling date
▶ 00:19:25as said Something wrong?
The presenter said licensees must post the results where parents can see them within 24 hours of receiving them.
will have to post the testing results in a location where parents and families can view at the facility within 24 hours of receiving the results
▶ 00:19:39as said Something wrong?
For an exceedance, the packet adds the certification of results and photos of each source with an exceedance matching the LIC 999 labels.
Certification of Lead Testing Results • Photos of each source with an exceedance t hat match LIC 999 labels
✓ checked
slide 21
Stated on the official slides Something wrong?
The presenter said an outlet with an exceedance must be made inaccessible, an alternate water source provided, and the regional office notified immediately.
if the outlets test with a lead exceedance it must be made inaccessible an alternate source of water must be provided and the regional office should be immediately notified
▶ 00:23:28as said Something wrong?
The presenter said a notice of exceedance must be posted and given to parents.
a notice of accidence must be posted as well as given to the parents
▶ 00:25:26as said Something wrong?
The presenter said a center with no outlets used by or accessible to children for drinking or food preparation should contact its regional office; exemption is decided case by case.
in the rare case of a facility not having any water Outlets used or accessible to children for drinking or food prepar preparation reach out to your regional office
▶ 00:22:53as said Something wrong?
The presenter said the most common source of lead in water has been an older fixture.
the most common source of lead is in water has been an older
▶ 00:20:01as said Something wrong?
Lead testing questions go to [email protected].
[email protected]
✓ checked
slide 22
Stated on the official slides Something wrong?
The presenter cited a May 2023 Environmental Working Group study saying one in four California child care centers had at least one outlet with an exceedance.
one in four California child care centers with at least one Outlet exceedence
▶ 00:12:46as said Something wrong?
The next provider webinar was Tuesday 9/26/23 at 6:00 p.m.
Tuesday 9/26/23 @ 6:00p.m.
✓ checked
slide 24
Stated on the official slides Something wrong?
A provider webinar was also set for Tuesday 12/12/23 at 6:00 p.m.
Tuesday 12/12/23 @ 6:00p.m.
✓ checked
slide 24
Stated on the official slides Something wrong?
Child Care Advocate Program: [email protected].
Child Care Advocate Program [email protected]
✓ checked
slide 26
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Technical Support Program: [email protected].
Technical Support Program [email protected]
✓ checked
slide 26
Stated on the official slides Something wrong?
Child Care Assistance: (800) 543-7793.
Child Care Assistance (800) 543-7793
✓ checked
slide 26
Stated on the official slides Something wrong?
The presenter said you can register for the distribution list to receive PINs and Quarterly Updates by email.
registering to be on the distribution list once you are in this list you can receive licensing updates through the provider information notice
▶ 00:26:32as said
See the rule Something wrong?
The presenter said new applicants and at least one director or teacher must have proof of completing the Preventive Health and Safety course.
new applicants lienes and at least one director or teacher is required to have proof of completion of the preventative health and safety training course
▶ 00:11:11as said Something wrong?
The presenter said lead's effects on children cannot be reversed.
Lead effects on children cannot be reversed
▶ 00:06:07as said Something wrong?
The presenter said children can get a blood lead test, which is free if you have 'medical' (as captioned; likely Medi-Cal).
children can have a blood lead test which is free if you have medical
▶ 00:07:36as said Something wrong?
The presenter said the only way to know if tap water has lead is to have it tested.
the only way that we can know if tap water has led is to have it tested
▶ 00:09:10as said Something wrong?