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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602309
Report Date: 01/19/2023
Date Signed: 01/19/2023 02:11:58 PM


Document Has Been Signed on 01/19/2023 02:11 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:TUVIA PRESCHOOLFACILITY NUMBER:
191602309
ADMINISTRATOR:FELICIA FLORESFACILITY TYPE:
850
ADDRESS:1101 CAMINO REALTELEPHONE:
(310) 316-8997
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY:83CENSUS: 61DATE:
01/19/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:FELICIA FLORES, DIRECTORTIME COMPLETED:
02:30 PM
NARRATIVE
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On 01/19/2023 Licensing Program Analyst (LPA) Lisa Clayton, conducted an unannounced case management - deficiencies visit. LPA was greeted by Director Felicia Flores. LPA Clayton toured the facility and observed 61 children being care for and supervised appropriately by 12 teachers.

LPA Clayton explained the purpose of the visit. The department has received testing results, indicating a water outlet has been identified with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5 ppb, or greater.

Lead water testing samples collected on 11/12/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. Director Felicia Flores stated the facility will notify all parents via email and post the Lead Testing Results on the parent board no later than close of business tomorrow 01/20/2023.

During today’s inspection, LPA Clayton reviewed the following documents: Child Care Center Sampling Checklist Form (LIC 9276), External Water Sampler Self-Certification Form (LIC 9275) Facility Sketch labeled with locations of all water outlets that were tested.

LPA Clayton observed the water outlet (kitchen sink Faucet K) in question, which is located on the second floor of the school/church. There is another faucet in the kitchen being used to prepare food. LPA Clayton observed the above-mentioned sink has been made inaccessible and has clearly marked signs posted over it. See LIC 812 ALE FAUCET PHOTOS.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
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 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: TUVIA PRESCHOOL
FACILITY NUMBER: 191602309
VISIT DATE: 01/19/2023
NARRATIVE
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Due to the Lead water testing samples collected on 11/12/2022 which are exceed the allowable amount deemed by the State of California, per the Written Directives for Lead Testing of Water in Licensed Child Care Center, AB 2370 the following deficiency is cited (See next page 809-D).

For more information, go to the California Childhood Lead Poisoning Prevention Branch's website at www.cdph.ca.gov/programs/clppb Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention.

An Exit interview was conducted, and appeal right explained. A copy of this report, appeal rights, and Notice of Site Visit provided to Felicia Flores, Director.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC809 (FAS) - (06/04)
Page: 2 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: TUVIA PRESCHOOL
FACILITY NUMBER: 191602309

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2023
Section Cited

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101700.3(b)(1) California Lead Action at Child Care Centers (b)Testing results with fractional ppb readings....(1) A result of 5.5ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by the Action Level Exceedance results revealed
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As of December 06, 2022 the faucet has been made inaccessible to kitchen staff and Teachers. Per Director Felicia, the Temple Board has made arrangements for the faucet to be repaired and the expected date is 30 days from the date of this report (February 18, 2023.
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that levels of lead were beyond allowable amount deemed by the State of California, if not corrected this poses a potential Health and Safety or Personal Rights risk to children in care.
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LPA Clayton advised Director Felicia to keep the Department updated on the status of the repairs, if they are not completed by the above -mentioned date, and to provide photos of the completed repairs.

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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
LIC809 (FAS) - (06/04)
Page: 1 of 1


Document Has Been Signed on 01/19/2023 02:11 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: TUVIA PRESCHOOL
FACILITY NUMBER: 191602309

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2023
Section Cited

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101700.3(b)(1) California Lead Action at Child Care Centers (b)Testing results with fractional ppb readings....(1) A result of 5.5ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by the Action Level Exceedance results revealed
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As of December 06, 2022 the faucet has been made inaccessible to kitchen staff and Teachers. Per Director Felicia, the Temple Board has made arrangements for the faucet to be repaired and the expected date is 30 days from the date of this report (February 18, 2023.
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that levels of lead were beyond allowable amount deemed by the State of California, if not corrected this poses a potential Health and Safety or Personal Rights risk to children in care.
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LPA Clayton advised Director Felicia to keep the Department updated on the status of the repairs, if they are not completed by the above -mentioned date, and to provide photos of the completed repairs.

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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3