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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410588
Report Date: 04/28/2023
Date Signed: 04/28/2023 10:41:49 AM


Document Has Been Signed on 04/28/2023 10:41 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:VAUGHN NEXT CENTURY LEARNING CENTERFACILITY NUMBER:
197410588
ADMINISTRATOR:HANDAL, KATIAFACILITY TYPE:
850
ADDRESS:13421 VAUGHN STREETTELEPHONE:
(818) 896-7461
CITY:SAN FERNANDOSTATE: CAZIP CODE:
91340
CAPACITY:200CENSUS: 103DATE:
04/28/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Rosa GomezTIME COMPLETED:
10:45 AM
NARRATIVE
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On 4/28/2023 Licensing Program Analyst (LPA) Isabel Ortega and Kevin Gains conducted an unannounced case management inspection. LPA Ortega met with Preschool Site Supervisor and tour the facility according to the facility sketch. The purpose of today's inspection is to conduct a case management inspection regarding lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a recent sample tested on April 1, 2023. The water lead sampling test results are based on the records reviewed outlet (F) indoor classroom 5 drinking fountain with results of an ALE of 10.00 ppb, outlet (I) drinking water fountain in classroom 10 with an ALE of 7.2 ppb and outlet (K) drinking water fountain Room 13 with results of 8.5. These are exceeding the ALE water of 5.5 ppb.

Facility has placed the water drinking fountains (F), (I), and (K) out of service and shut off the vale until repairs can be completed (see plan of correction). Water bottles are readily available to children during hours of operation(see plan of correction for further corrective action 809D). The facility has will posted and emailed (Parent square app) authorized representatives (parents, legal guardians, ect.) of water sample results ALE and corrective action plan in writing in both languages English and Spanish.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VAUGHN NEXT CENTURY LEARNING CENTER
FACILITY NUMBER: 197410588
VISIT DATE: 04/28/2023
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Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a Type B deficiency is being cited (see next page, 809 D). An exit interview was provided, facility was provided with a copy of this report, appeal rights and notice of site visit (NOA).

This report shall be made available to the public upon request. The Notice of Site Visit (NOA) is required to be posted for 30 days.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/28/2023 10:41 AM - 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551


FACILITY NAME: VAUGHN NEXT CENTURY LEARNING CENTER
FACILITY NUMBER: 197410588

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2023
Section Cited

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California Lead Action Level at Child Care Centers (a) California’s Action Level for lead in water at Child Care Centers is 5 ppb. (b) Testing results with fractional ppb readings of 5.5 ppb shall be deemed an Action Level Exceedance...This requirement was not met by evidence by
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Facility will remove water fountains and sumbit a picture by email to Palmdale regional Office by due date.
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base on interview and record review ALE results containing lead in drinking water fountain F, I, and K which is out of compliance with the allowable ALE of 5.5 ppb. This poses a potential health and safety risk to the 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: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
LIC809 (FAS) - (06/04)
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