<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415855
Report Date: 07/19/2023
Date Signed: 07/19/2023 03:46:49 PM


Document Has Been Signed on 07/19/2023 03:46 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:LOS ANGELES MISSION COLLEGE CHILD DEV. CENTERFACILITY NUMBER:
197415855
ADMINISTRATOR:DIANE STEINFACILITY TYPE:
850
ADDRESS:13356 ELDRIDGE AVENUETELEPHONE:
(818) 364-7865
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:90CENSUS: 33DATE:
07/19/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Diane SteinTIME COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On July 19, 2023, Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced Lead-case management inspection. LPA met with facility Director Diane Stein. The purpose of today's inspection was to conduct a case management- lead inspection, and to notify the facility there has been a lead exceedance referred for an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. Upon arrival LPA observed 33 children in care and ten staff providing care and supervision. LPA toured a total of three classrooms referred to as the older toddler room 117, Preschool Classroom Room 133 and 135. LPA also toured the Room 137 Family Resource Room/Toy Room. Room 137 is utilized for Parent Education classes monthly, for one hour. Children utilize room 137 for toy check outs once a month for about 30 minutes.

Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test on 6/16/2023. Based on the results sink faucet (B) has an ALE of 10 bpp and sink faucet (DD) had an ALE of 8.4 bpp. Both (B) and (DD) sink faucets are located in room 137, the Family Resource Room. hildren have access to drinking water from (D) Sink Faucet- Non contaminated water under 5.5 ppb. This faucet is available to preschool children in room 137 family room when in use.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LOS ANGELES MISSION COLLEGE CHILD DEV. CENTER
FACILITY NUMBER: 197415855
VISIT DATE: 07/19/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per Facility Director, the facility plans to replace and retest outlets (B & DD). Per conversation with Director the facility will have both sink faucets shut off. During inspection Director placed a “Out of service” sign on (B) sink fountain and (DD) sink fountains. According to Director classroom 137 is only utilized once a month. Facility stated sink faucet B and DD, have not been used since pre Covid-19, however the children were directed to use the drinking fountain D located in room 137.

During inspection Director shared results of the lead exceedance to parents via Learning Genie App. and the notice was posted visible to parents.

Based on the Enthalpy Analytical results, sink faucets (B) and (DD) had an ALE over the allowable ALE of 5.5 ppb. Therefore, a Type B citation was issued today. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, written directives, as this posed a potential risk to the children in care. Please refer to LIC 809D.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility Director Diane Stein.

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

DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/19/2023 03:46 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551


FACILITY NAME: LOS ANGELES MISSION COLLEGE CHILD DEV. CENTER
FACILITY NUMBER: 197415855

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2023
Section Cited

101700.3

1
2
3
4
5
6
7
101700.3 California Lead Action Level at Child Care Centers (a) California’s Action Level for lead in water at Child Care Centers is 5 ppb.... result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance....Action Level Exceedance at any water outlet...is deemed not safe to drink ...immediate response ...shall be required
1
2
3
4
5
6
7
Facility has available an alternative drinking fountains (D) in room 137. The Facility plans to replace and retest outlet (B) and (DD). Documentation of the replacement and retesting will be submitted to the Department.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Based on the information received, sink faucet (B) had an ALE of 10 bpp and (DD) had an ALE of 8.4 bpp, which is out of compliance with the allowable ALE of 5.5 ppb. This poses a potential health and safety risk for the children in care. According to Facility last time sink faucets (B) and (DD) were used was pre covid-2019.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 07/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3