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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191605684
Report Date: 09/30/2022
Date Signed: 09/30/2022 11:50:33 AM


Document Has Been Signed on 09/30/2022 11:50 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTRFACILITY NUMBER:
191605684
ADMINISTRATOR:APRIL BEHRENDTFACILITY TYPE:
840
ADDRESS:1160 E BIXBY RDTELEPHONE:
(562) 595-0056
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:120CENSUS: DATE:
09/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:April Behrendt, DirectorTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced case management inspection on 9/30/2022. LPA Mooberry arrived at the facility at 10:00am and met with Ferman Alisea, teacher, who was informed of the purpose of this inspection. LPA was provided a tour of the facility. There were 61 children and 7 staff present during this inspection.

Facility Director April Behrendt arrived at the facility at 10:30, LPA discuss with the facility water lead test results received on 8/17/22. Results show that a water source in the facility had Action Level Exceedance (ALE) of lead. The hose faucet (spigot) located in the preschool playground had a lead result of 13 parts per billion (ppb). A result with values of 5.5 parts per billion (ppb) or greater shall be deemed an Action Level Exceedance in accordance with the Lead Testing Written Directives section 101700.3 subsection (b)(1).

Per Director, the hose faucet (spigot) has not been used nor will it be used in the future for drinking water or food preparation. The facility offers filtered water that is delivered that is used for drinking. Per director the children can bring their water bottles which they can fill up with the filtered water. The facility does not prepare meals, children bring their own lunch from home. LPA observed a water dispensers in each classroom and in the office. LPA observed children's lunch boxes in their cubbies and water bottles. No deficiencies are cited on this date.

LPA took photo of hose faucet (spigot) in the preschool play yard. A copy of the test results were provided by facility.

Exit interview conducted and report was reviewed with the Facility Representative April Behrendt. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2022
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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