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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191594688
Report Date: 06/20/2022
Date Signed: 06/20/2022 06:31:21 PM


Document Has Been Signed on 06/20/2022 06:31 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:L.A. COUNTY FAIR ASSOC. INFANT CENTERFACILITY NUMBER:
191594688
ADMINISTRATOR:HOLLY REYNOLDSFACILITY TYPE:
830
ADDRESS:1101 W. MCKINLEYTELEPHONE:
(909) 623-3899
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY:62CENSUS: 33DATE:
06/20/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Assistant Director Ruby EscamillaTIME COMPLETED:
06:45 PM
NARRATIVE
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An unannounced, in-person Case Management-Deficiencies inspection was conducted on this date by Licensing Program Analyst (LPA) Emiko Bell in order to cite for deficiencies.

Upon LPA's arrival, LPA was greeted by staff Resa Destiny Carcoba, who permitted LPA to enter the Center.

LPA and staff wore face coverings the duration of the inspection as a precautionary measure against COVID-19. The COVID screening questions were posed and all were responded to with "No."

At 03:45 Asst. Director Escamilla guided LPA on a tour of the Infant classrooms to take census.
In the Infant Room, there were 4 infants with two staff; in T1 and T2, there were seven infants with three staff; in T3, there were nine infants with three staff and in T4, there were six infants with two staff. There were 33 total infants with 13 total staff. The tour was completed at 03:55 pm.

The Center is being cited per a directive issued by CDSS CCL CCC Water Testing, which stated that two of the outlets/faucets on the Infant side tested have a lead exceedance-referred to as an Action Level Exceedance (ALE) of over 5 parts per billion. A citation has been issued.

During the inspection, Asst. Director Escamilla received a hard copy of the report from the CCC lead testing communications point of contact, which was received via email on Friday 06/17/122
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2022
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 3


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: L.A. COUNTY FAIR ASSOC. INFANT CENTER
FACILITY NUMBER: 191594688
VISIT DATE: 06/20/2022
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During the inspection, Asst. Director Escamilla received a hard copy of the report from the CCC lead testing communications point of contact, which was received via email on Friday 06/17/122

after close of business. On the report, it was stated that, "Exceedance of the 5 pg/l ALE was not identified at the Fairplex Child Development Center. ...Based on the laboratory anayltical results, Fairplex Child Development Center meets the licensing requirement of AB 2370 Written Directives for Lead Testing of Water in Licensed Child Care Centers."

As there is a discrepancy, though LPA Is issuing a citation, the Plan Of Correction will be that the Center is appealing the citation and not that the water outlets/fountains with an ALE will be placed out of service.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Assistant Director Ruby Escamilla.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/20/2022 06:31 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: L.A. COUNTY FAIR ASSOC. INFANT CENTER
FACILITY NUMBER: 191594688

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2022
Section Cited

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BUILDINGS AND GROUNDSThe child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

-This requirement is not met as evidenced by:
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on the emalil dated 06/13/22 from CDSS CCL CCC Water Testing, it stated that there were two faucets which are part of the Infant license which had ALEs. *This poses a potential risk to the health, safety or personal rights of children 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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2022
LIC809 (FAS) - (06/04)
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