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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501798
Report Date: 02/13/2024
Date Signed: 02/13/2024 03:06:39 PM


Document Has Been Signed on 02/13/2024 03:06 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ABILITY FIRSTFACILITY NUMBER:
191501798
ADMINISTRATOR:JULIE MARTINFACILITY TYPE:
840
ADDRESS:480 SOUTH INDIAN HILL BLVD.TELEPHONE:
(909) 621-4727
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:58CENSUS: 1DATE:
02/13/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Bonita RamosTIME COMPLETED:
03:00 PM
NARRATIVE
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On 2/13/2024, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced Case Management Lead Exceedance inspection. A COVID 19 risk assessment was conducted. LPA met with Program Supervisor, Bonita Ramos. LPA took a census of 1 child with 1 staff present at the facility during this inspection.

The purpose of today's inspection is to go over the water lead test results received on 01/25/2024 during a previous visit. The testing was conducted on 12/20/2022 but LPA had never received the results of the lead exceedance until 1/25/2024. Results indicate that fixture “B” drinking fountain water source near the pool area had a lead exceedance of 7.0, which exceed the regulation of 5.5 or less parts per billion. LPA was informed that the water fountain was removed, and LPA took photo of the area where water fountain was once located. LPA received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from the Director, Julie Martin on a prior visit of, 1/25/2024.

LPA advised Program Supervisor that lead testing results must be posted outside for parents to view until the next testing is conducted every 5 years from the date of the initial test. Program Supervisor stated and LPA observed that results have been posted on the Parent Board.

A deficiency was cited on attached LIC809-D. The deficiency listed on the following page were reviewed by the LPA and is being cited in accordance with California Code of Regulations Title 22. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

During the visit a Proof of Correction (POC) letter was issued as the corrections were already made.

A notice of site visit was given to licensee and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Program Supervisor, Bonita Ramos.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2024
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 02/13/2024 03:06 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: ABILITY FIRST
FACILITY NUMBER: 191501798

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/13/2024
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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LPA observed that the water fountain fixture "B" located near the pool area was removed and was capped off. LPA took photo
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This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) of 7.0, which poses/posed a potential health, safety or personal rights risk to persons in care.
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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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2024
LIC809 (FAS) - (06/04)
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