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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163810031
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:17:07 AM


Document Has Been Signed on 03/07/2023 11:17 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:KCAO ARMONA LEARNING CENTERFACILITY NUMBER:
163810031
ADMINISTRATOR:AVILA, TERESAFACILITY TYPE:
850
ADDRESS:13835 LYN STTELEPHONE:
(559) 584-8946
CITY:ARMONASTATE: CAZIP CODE:
93202
CAPACITY:48CENSUS: 24DATE:
03/07/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Miguel RodriguezTIME COMPLETED:
11:25 AM
NARRATIVE
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On 03/07/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced case management inspection. LPA met with Acting Site Supervisor Miguel Rodriguez and Teacher Deanna Curtis 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 5.5 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 01/24/2023. Records were reviewed from Moore Twining and discussed with Acting Site Supervisor. It has been determined that there is an exceedance to outlet B in the facility. LPA inspected outlet B and it was observed to be an exterior outlet that was impacted with 24ppb (ALE) of lead.

Facility has made the faucet inoperable by covering with plastic and labeling not in use until replaced. Facility is providing bottled water for drinking water. Site Supervisor stated that all water for food prep is being used from faucet A in the facility Kitchen which had a “none detected” level.

(See plan of correction for further corrective action, LIC 809-D). Facility has already notified all the authorized representatives of this corrective action in English and Spanish.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809-D). Site Supervisor was provided a copy of the appeal rights.

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) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2023
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 03/07/2023 11:17 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: KCAO ARMONA LEARNING CENTER
FACILITY NUMBER: 163810031

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/11/2023
Section Cited

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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
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Per Director Evelyn Solorio, the affected outlet will be replaced and retested. Facility will provide water lead sampling retesting and notify Community Care Licensing (CCL) of results. The one drinking fountain has been covered and labeled not in use.
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Based on record review, one outlet at the facility contained 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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Facility notified all authorized representatives in English and Spanish of lead testing results. The results have also been posted at the facility where authorized representatives can view them. Facility is providing alternative drinking water with portable water jugs.

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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: Susie FanningTELEPHONE: (559) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2023
LIC809 (FAS) - (06/04)
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