<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808806
Report Date: 01/09/2023
Date Signed: 01/09/2023 10:54:23 AM


Document Has Been Signed on 01/09/2023 10:54 AM - 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:EDISON PRESCHOOLFACILITY NUMBER:
153808806
ADMINISTRATOR:ANDREWS, ERICAFACILITY TYPE:
850
ADDRESS:1036 VINELAND ROADTELEPHONE:
(661) 363-5394
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:152CENSUS: DATE:
01/09/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Rosavla Banuelos - Director TIME COMPLETED:
11:10 AM
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 1/09/23 Licensing Program Analyst (LPA) Jessika Thompson conducted an unannounced case management inspection. LPA met with Director Rosalva Banuelos who accompanied LPA on a tour of the facility, and a census was taken. The purpose of today's inspection is to address the lead exceedance, referred to as an Action Level Exceedance (ALE) of over 7.4 parts per billion (ppb) in the water at the facility.

The Fresno South Regional Office received notification of water lead exceedance at the facility resulting from a water lead sampling test collected on 12/08/2022. Based on records reviewed from the CA Water Board Data Management System, and self reported information from the facility, the water fountain located in Classroom #3, outlet E, had a result of 7.4 ppb. Licensee has has made this outlet inoperable to children by placing a sign on the faucet and disabling water flow to the outlet. Director Banuelos indicated that all drinking water is obtained from water purification systems that are located in each classroom, which LPA observed today. According to Director Banuelos, the facility has been using the the aforementioned systems for drinking water when the COVID-19 pandemic began, in roughly March of 2020. Facility has posted notification of lead exceedance to the facility's parent's board and will notify all authorized representatives of the corrective action taken by the facility.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, LIC809 D). Licensee was provided a copy of appeal rights. An exit interview was conducted with the Director Banuelos.

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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: (559) 341-4622
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 10:54 AM - 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: EDISON PRESCHOOL
FACILITY NUMBER: 153808806

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2023
Section Cited

1
2
3
4
5
6
7
California 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 ... (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:
1
2
3
4
5
6
7
Facility has ceased operation of the affected water outlet and made the outlet inoperable. Director has posted notification of exceedance on facility's parents board and will notify parents/authorized representatives of corrective action already taken. Facility will remove, or repair and replace the
8
9
10
11
12
13
14
Based on record review and observation, one outlet at the facility contained a lead exceedance greater than 5.5 ppb. This poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
affected outlet and conduct follow up water sample as outlined in Written Directives Section 101705. All required documentation is to be submitted to the Fresno Community Care Licensing Office by 2/09/2023.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: (559) 341-4622
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)
Page: 2 of 2