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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570686
Report Date: 11/28/2022
Date Signed: 12/07/2022 04:38:22 PM


Document Has Been Signed on 12/07/2022 04:38 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/30/2022 04:26 PM

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

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Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced case management inspection on 11/28/2022. A COVID-19 risk assessment was conducted prior to entering the facility. There have been 2 positive cases as of today, November 28, 2022 and LPA switched to an N-95 mask. LPA arrived at the facility at 10:45 am. and met with Office Staff, Veronica Magana, who called for Carmen Robles, School Nurse who provided me with a tour of the facility. There were 36 children and 8 staff present during the inspection.

The purpose of today's inspection is to inspect the water lead test results, received on October 26, 2022. Results indicate that 6 water sources had action level exceedance of lead. There are 2 sinks located in Flanner 01 (Room 2), combo sink/water fountain located in Flanner 03 (Room A), outside drinking fountain outside of Flanner 04 (Room B) and sink located inside of Flanner 04 (Room B) had resulted in higher levels of 5.5 parts per billion. LPA observed that some faucets and fountains are not accessible through bags and tape to make them inaccessible to children in care and/or turned off. LPA suggested that all sinks and fountains have a bag placed and taped up, as well as signage stating “Do not use”. LPA spoke with the Program Manager, Lucy Barcelo who arrived approximately around 12:30 pm. and discussed documentation of LIC 9276 and LIC 9275. Program Manager contacted Director, Rosa Ducoing to inquire. The Director sent LPA via email, providing documentation of LIC 9276, LIC 9275 and a facility sketch, as well as stating that she is working with Bassett Unified School District’s Maintenance, to access the extent of the issues and to make the necessary repairs. Per the Director procedure process is to get three quotes for the work to be done, so at this time an exact time frame cannot be provided, but Director will keep LPA informed of the progress.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2022
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: FLANNER HEAD START PRESCHOOL
FACILITY NUMBER: 191570686
VISIT DATE: 11/28/2022
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LPA observed and took photos of Sparklett’s Water Bottle that is utilized and per the School Nurse, water fountains have not be used since March of 2020 due Covid, as well as they were turned off. Program Manager and School Nurse indicating that tooth brushing has not been implemented since Covid-19 began in March of 2020.

The sinks are only used for hand washing. LPA did not observe any toothbrushes in classroom. LPA took pictures of each sink and water fountain in each classroom listed in this report during the inspection. 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.

Per Program Director fountains have not been used since before Covid approximately around, March 2020. Director will provide LPA with documentation once the repairs are completed and a new report of testing will be conducted again. Program Manager has ensured LPA that the water faucets noted will not be used as a drinking source or food preparation source for the children.

Exit interview conducted and report was reviewed, along with appeal rights given to Program Manager, Lucy Barcelo. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC809 (FAS) - (06/04)
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