191225946-1-11-2023-33-CC-NTCG-CMYPY6-20230111104324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191225946
Report Date: 01/11/2023
Date Signed: 01/11/2023 10:43:38 AM

Document Has Been Signed on 01/11/2023 10:43 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	SUNRISE PRE-SCHOOL		FACILITY NUMBER:	191225946
ADMINISTRATOR:	HEIDI MORGAN		FACILITY TYPE:	850
ADDRESS:	3700 E SIERRA MADRE BLVD		TELEPHONE:	(626) 351-9899
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY:	165	CENSUS: 65	DATE:	01/11/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Monica Duran - Director		TIME COMPLETED:	10:58 AM

NARRATIVE

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixtures in the facility. Upon Arrival at 9am, LPA met with Director Monica Duran, who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 65 children and 12 staff.

LPA reviewed 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.

Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA during today’s inspection.

On 05/14/2022, 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 05/14/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

A & B - End of 1st floor Right Hallway, adjacent to each other
F - Staff Lounge
G & H - Front of 1st floor Hallway, adjacent to each other
P & Q - End of 1st floor Left Hallway, adjacent to each other

REPORT CONTINUES PAGE 1 of 2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SUNRISE PRE-SCHOOL	FACILITY NUMBER: 191225946
	VISIT DATE: 01/11/2023

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FF & GG - Front of 2nd floor Hallway, adjacent to each other
LL & MM - End of 2nd floor Left Hallway, adjacent to each other

Director states that all water outlets, except outlet F, have had the water source turned off from it making it inaccessible for children on site. Outlet F is located in the staff lounge and is inaccessible to children in care. LPA observed facility maintenance pressing the water fountain to show that they do not have water running to them. At this time children are bringing their own water bottles from home. There are larger bottles of water available in each class to refill an empty child's bottle. LPA observed children's bottles throughout the facility classrooms.

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

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

An exit interview conducted with Director Monica Duran, at 10:35am, and a copy of this report was provided.

END OF REPORT PAGE 2 of 2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/11/2023 10:43 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SUNRISE PRE-SCHOOL	FACILITY NUMBER: 191225946
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/25/2023 Section Cited	1 2 3 4 5 6 7	101700.3 (b)(1) 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 or greater shall be deemed and Action Level Exceedance This requirement was not met as evidence by:	1 2 3 4 5 6 7	Per Director, the facility will create a drinking water plan that will be drafted and submitted to the Department as well as provided to parents so they are made aware of the drinking water policy. Water to the drinking fountains have been turned off and children are currently bringing their own water bottles.
	8 9 10 11 12 13 14	Based on Record review, the test results showed 11 total lead level exceedances throughout the facility in hallway drinking fountains and a lounge sink. This is a potential risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14	Director will establish a consistent and scheduled water delivery for the facility to ensure they always have drinking water available at all times. Written plan and proof of water delivery will be submitted to LPA by POC date.
	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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC809 (FAS) - (06/04)

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