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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045404933
Report Date: 05/30/2023
Date Signed: 05/30/2023 03:31:57 PM


Document Has Been Signed on 05/30/2023 03:31 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:E CENTER HS PGMS - FAIRVIEW CENTERFACILITY NUMBER:
045404933
ADMINISTRATOR:HIGGS, CAROLFACILITY TYPE:
830
ADDRESS:290 EAST AVE.TELEPHONE:
(530) 891-3092
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY:20CENSUS: 0DATE:
05/30/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:52 PM
MET WITH:Ariana ChavezTIME COMPLETED:
03:41 PM
NARRATIVE
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On 5/30/2023 at 2:52pm, Licensing Program Analyst (LPA) Mendez made a case management inspection and met with Director, Ariana Chavez The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5 ppb) of lead in the water:
Faucet “A” – tested at 5.7ppb, faucet is located in the kitchen where food is prepared

The kitchen faucet was replaced and retested and facility director will submit proof that the faucet was retested. Children currently drink water from the filtered water dispenser.


The following deficiency is being cited (see LIC 809D). 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.

Exit interview conducted and report was reviewed with the director, Ariana Chavez
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023
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 05/30/2023 03:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926


FACILITY NAME: E CENTER HS PGMS - FAIRVIEW CENTER
FACILITY NUMBER: 045404933

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/30/2023
Section Cited
HSC
101700(b)(2)

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Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement was not met as evidenced by:
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Kitchen faucet was replaced and retested with results that were submitted.
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Based on record review, the facility had faucet A with lead test results exceeding 5 ppb of lead in the water. This is a potential health and safety risk to children in care.
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Facility representative will submit new results that faucet in kitchen was retested.
Type B
05/30/2023
Section Cited
CCR11111

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(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.
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Facility representative is as already complied; Community Care Licensing received proof of testing on April 22, 2023.

***cleared citation
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This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above to have the drinking water tested by 1/1/2023, which poses a potential health, safety or personal rights risk to persons 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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023
LIC809 (FAS) - (06/04)
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