191227138-1-13-2023-33-CC-NTCG-CN2QVU-20230113113056

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191227138
Report Date: 01/13/2023
Date Signed: 01/13/2023 11:31:03 AM

Document Has Been Signed on 01/13/2023 11:31 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:	WALDEN SCHOOL OF CALIFORNIA, THE		FACILITY NUMBER:	191227138
ADMINISTRATOR:	CHRISTINA RIDDLE		FACILITY TYPE:	850
ADDRESS:	74 SOUTH SAN GABRIEL BOULEVARD		TELEPHONE:	(626) 792-6166
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY:	36	CENSUS: 28	DATE:	01/13/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Christine Riddle - Director		TIME COMPLETED:	11:50 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

Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 10:40am, LPA met with Director Christine Riddle, who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 28 children with 4 staff members.

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 12/03/2022, 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 12/03/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

E - "Room 7 Drinking Fountain" with a test result of 6.600.

Director states that the drinking fountain is located on the K-6th grade school that the preschool shares a campus with. The preschool age children do not have access to the room and the room is not part of the licensed area of the facility. Since the facility is part of a larger school, the water sampler conducted the testing as one whole facility. There is no lead exceedance for any water outlets in the above licensed facility. The Room 7 drinking fountain has been covered with a garbage bag and noted not for use.
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: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

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

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: WALDEN SCHOOL OF CALIFORNIA, THE	FACILITY NUMBER: 191227138
	VISIT DATE: 01/13/2023

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
26
27
28
29
30
31
32

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 facility is not being cited as none of the faucets with lead exceedance are being used for consumption or food preparation, and there is no exceedance located on the licensed premises.

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 Christine Riddle at 11:30am, 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: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2