130806387-12-7-2022-20-CC-DSAZ-CLVTEZ-20221207134047

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 130806387
Report Date: 12/07/2022
Date Signed: 12/07/2022 01:40:54 PM

Document Has Been Signed on 12/07/2022 01:40 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	IMPERIAL VALLEY COLLEGE DEVELOPMENTAL PRESCHOOL		FACILITY NUMBER:	130806387
ADMINISTRATOR:	GREEN, BECKY		FACILITY TYPE:	850
ADDRESS:	380 EAST ATEN ROAD		TELEPHONE:	(760) 355-6232
CITY:	IMPERIAL	STATE: CA	ZIP CODE:	92251
CAPACITY:	70	CENSUS: 53	DATE:	12/07/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Becky Green, Director		TIME COMPLETED:	01:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 12/07/2022 at approximately 12:30 PM, Licensing Program Analysts (LPAs) D. Sanchez and D. Huerta conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of lead detected in facility water fixtures. LPAs met with facility director, Becky Green. The purpose of the inspection was explained, and facility was toured. Present in facility were 53 children with 12 staff. LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. LPA obtained copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), on 10/27/2022. On 10/25/2022 the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 10/05/2022. The outlets/fixtures reported with 5.5 ppb or greater lead exceedance levels were as follows: A – Sink at employees break room 2203, not currently in use, new water outlet installed, but may be use in the future. I - Sink inside kid's restrooms room #2022, Southeast side of the building, not currently in use, but may be use in the future.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: IMPERIAL VALLEY COLLEGE DEVELOPMENTAL PRESCHOOL	FACILITY NUMBER: 130806387
	VISIT DATE: 12/07/2022

NARRATIVE

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Director Green and Building Manager Sanchez stated that stated that the employees break room faucet has been replaced and they are waiting for parts to replace the kid’s restrooms faucet, but they still have both faucets inaccessible until retest.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

LPA informed facility representative Becky Green that this report dated 12/07/2022, documents one (1) Type B citation on the attached 809-D.

LPA advised Director Green that parents must be notified of the lead exceedances. Licensees shall post testing results, in a location consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24 hours of receiving the results from the Department.

Exit interview conducted and report was reviewed with Director Green. A copy of this report, along with Appeal Rights (LIC9058 03/22), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/07/2022 01:40 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: IMPERIAL VALLEY COLLEGE DEVELOPMENTAL PRESCHOOL	FACILITY NUMBER: 130806387
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/07/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/06/2023 Section Cited	1 2 3 4 5 6 7	101700.3 California Lead Action Level at Child Care Centers. (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the directive above, as Sink faucet at the employees break room and sink faucet at the kids, not used for drinking and/or food preparation tested with an Action Level Exceedance (ALE). This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14	Director stated that no children have access to the identified fauces. Director stated that parents will be notified of the lead exceedances via email/letter/telephone call. Director stateed the POC will be provided to the San Diego Regional Office no later than 01/06/2023.
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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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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