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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191610282
Report Date: 07/26/2023
Date Signed: 07/26/2023 03:13:55 PM


Document Has Been Signed on 07/26/2023 03:13 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:FERNALD CHILD CARE CENTER - INFANTSFACILITY NUMBER:
191610282
ADMINISTRATOR:ALICIA MINOR BROWNFACILITY TYPE:
830
ADDRESS:10620 SUNSET BLVD.TELEPHONE:
(310) 825-2900
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY:26CENSUS: 22DATE:
07/26/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:Marcia Martinez, Director of OperationsTIME COMPLETED:
03:31 PM
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Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced case management inspection on 7/26/2023 at 12:18p.m. and met with Marcia Martinez, Director of Operations, who guided analyst on a tour of the facility. LPA observed 22 children with 7 staff upon arrival.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

On 04/04/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted a visit to the facility to address an Action Lead Exceedance (ALE) found in spigot “J" and "N”. On 10/20/22 Spigot “J” was tested with an exceedance level of 14ppb and "N" Tested at 11. A retest was conduted on 02/14/2023 "J” was tested with an exceedance level of 14ppb and "N" Tested at 7.7. The facility was cited on 04/4/2023. The Director stated that parts had been ordered and would be replaced or capped off, and re-tested by a certified external water sampler.

Spigot J and N were repaired with stainless steel parts and their water was retested on 06/02/2023, however, the new re-test yielded both spigots exceedance of "J" 6.8ppb and N at of 6.3ppb.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FERNALD CHILD CARE CENTER - INFANTS
FACILITY NUMBER: 191610282
VISIT DATE: 07/26/2023
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The facility has removed spigot "J". Spigot "N" has been removed, replaced and will not be used by the facility. The facility has potable Sparklette drinking water dispensers for children in care

The Facility will provide a written statement attesting that the facility has not used and will not use outlet "J", for drinking water or food preparation

There were no deficiencies cited

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

Exit interview conducted and report was reviewed with Marcia Martinez, Director of Operations.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
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