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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100405004
Report Date: 01/09/2023
Date Signed: 01/09/2023 02:18:16 PM


Document Has Been Signed on 01/09/2023 02:18 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:FRESNO EOC REEDLEY HEAD STARTFACILITY NUMBER:
100405004
ADMINISTRATOR:ESMERALDA CERVANTESFACILITY TYPE:
850
ADDRESS:144 SO. SUNSET AVENUETELEPHONE:
(559) 263-1205
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY:34CENSUS: 0DATE:
01/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Esmeranda CervatezTIME COMPLETED:
02:30 PM
NARRATIVE
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On 01/09/2023, Licensing Program Analyst (LPA), Jose Penate conducted an unannounced case management inspection. LPA met with Director, Esmerada Cervatez who accompanied LPA on a tour of the facility, and a census was taken. The purpose of today’s inspection is to address a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) from water at the facility.

Fresno Regional Office received notification that the facility has very high lead exceedance from a water lead sampling test collected on 10/28/22. LPA reviewed the following Sampling Documents with Director: LIC 9275 - External Water Sampler Self-Certification Form, LIC 999 - Facility Sketch, and LIC 9276 - Child Care Center Sampling Checklist Form with staff to identify the outlets with ALE. LPA advised Director the following sample sites contained ALE: Outlet C in the facility with 10.0 ppb. LPA informed Director that the facility is out of compliance due to lead exceedance and due to not being tapped off for complete inoperability. LPA discussed with Director different options to bring the facility into compliance: permanently cease use of this outlet, replace the water outlet and conduct a Follow-up Corrective Action Water Sampling Test. Director stated that the outlet will be made inoperable by shutting off the valve and create a plan to remedy the issue and conduct a Follow-up Corrective Action Water Sampling Test as outlined in Written Directives Section 101705. Director agrees to update the plan of operation with changes to the facility if needed. Director shall notify all parents/authorized representatives of any corrective action that will be taken at the facility.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D).

Director was provided a copy of appeal rights. An exit interview was conducted with the Teacher Assistant, Adriana Rezinos.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 01/09/2023 02:18 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: FRESNO EOC REEDLEY HEAD START
FACILITY NUMBER: 100405004

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2023
Section Cited

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California Action Level at Child Care Centers (b) Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number ... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE). This requirement was not met as evidenced by:
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Director will cease operation of the affected water outlet by shutting off the water valves and covering the outlets with a plastic bag and tape. Director will have the plan of operation with changes to the facility if any are needed.
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Based on record review, one outlet at the facility contained very high lead exceedance greater than 5.5 ppb. This poses a potential health, safety or personal rights risk to persons in care.
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Director will notify all parents/authorized representatives of any corrective action that will be taken at the facilty. Director will come up with a plan to have the valve corrected or replaced and have the facility re-tested once the valve has been replaced.

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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: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023
LIC809 (FAS) - (06/04)
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