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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402982
Report Date: 12/15/2022
Date Signed: 12/15/2022 12:59:49 PM

Document Has Been Signed on 12/15/2022 12:59 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:NEWHALL ELEMENTARY PRESCHOOLFACILITY NUMBER:
197402982
ADMINISTRATOR:FERKO, KELLYFACILITY TYPE:
850
ADDRESS:24607 NO. WALNUT ST.TELEPHONE:
(661) 291-6723
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 16DATE:
12/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Kelly FerkoTIME COMPLETED:
01:05 PM
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On December 15, 2022, Licensing Program Analyst (LPA) Isabel Ortega, conducted a Case Management inspection in response to lead exceedance at the facility. Water lead testing results were received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW) indicating exceedance in two water faucets. LPA Ortega disclosed the purpose of the inspection and was granted entry. LPA toured the facility and observed the water faucet areas according to facility sketch. Upon arrival 16 children and 4 staff were observed providing care and supervision.
During the inspection, LPA Ortega disclosed the lead results provided by SWRCB, indicating facility had elevated levels of lead in (C) area. The water faucet sink is not utilized for drinking nor food preparation. On 10/08/2022 the SWRCB collected water samples for lead testing. Facility's results reported (C) with 19.0 reaching Action Level Exceedance (ALE).
According to Staff interview and observation water faucets and fixtures with lead exceedance were replaced on 11/09/2022. According to Staff, children are provided with individual drinking water bottles and food is not prepared at the center and brought from an external Nutrition Program. LPA observed individual drinking water bottles in the children's cubbies.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: NEWHALL ELEMENTARY PRESCHOOL
FACILITY NUMBER: 197402982
VISIT DATE: 12/15/2022
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The water faucet labelled (C) according to the facility sketch was identified containing lead. According to staff the water faucet sink (C) located in the class room and is only utilized for hand washing. Last day sink (C) was utilized by children for hand washing was on 10/08/2022. Facility is utilizing an alternative sink for hand washing and applying hand sanitizer.

Facility has followed proper lead regulation directives and water was not used for food preparation nor drinking. Therefore, no deficiencies will be cited.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit was provided to facility on this day.

This report shall be public record for three years and Notice of Site Visit is to be posted for 30 days.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
LIC809 (FAS) - (06/04)
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