197418525-6-2-2023-58-CC-LHEZ-CSETLN-20230602144951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418525
Report Date: 06/02/2023
Date Signed: 06/02/2023 02:50:00 PM

Document Has Been Signed on 06/02/2023 02:50 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:	HERITAGE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	197418525
ADMINISTRATOR:	DOLORES ENGLISH		FACILITY TYPE:	850
ADDRESS:	10949 ZELZAH AVENUE		TELEPHONE:	(818) 488-8888
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	120	CENSUS: 0	DATE:	06/02/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	11:32 AM
MET WITH:	Margaret Miller, Director		TIME COMPLETED:	02:55 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	Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 06/02/2023. LPA arrived at the facility at 11:32AM and met with Dolores English and Margaret Miller, Directors, who guided analyst on a tour of the facility. LPA observed no children with 18 staff upon arrival. Per Directors, staff were present in preparation for summer instructions that will begin on Monday June 5, 2023. 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 05/26/2023 LPA contacted the facility and spoke to the Director informing them that the required lead testing conducted at the facility has been identified to have an Action Lead Exceedance (ALE) greater than 5.5 ppb in four of their water outlets. The purpose of the inspection is to ensure that the water outlets with a lead exceedance are not in use and that the facility has potable water for children in care. LPA was provided with copies of the LIC 9275 External Water Sample Self-Certification Form, the LIC 9276 Child Care Center Sampling Checklist Form, and an updated copy of the LIC 999 Facility Sketch noting all water sources at the facility. LPA was also provided with a copy of the results of the lead water sample testing conducted by Converse Consultants.

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HERITAGE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 197418525
	VISIT DATE: 06/02/2023

NARRATIVE

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Testing was conducted on 04/29/203 and results were received on 05/12/203. Per the water sample results, the facility had four water outlets with a lead exceedance.
The following water outlets yielded the following results:
1. Sample A – sink in room L – 5.6ppb
2. Sample B- sink in room K – 7.2ppb
3. Sample H - sink in room B – 9.8ppb
4. Sample I – sink in room C – 7.7ppb

During the inspection LPA observed a filtered water dispenser at the facility as a potable source of water for children in care. The filtered water dispenser is located in the teachers workroom. Teachers use pitchers that also have water filters to fill up children's water bottles brought from home.

LPA took pictures during the inspection and observed that all four water outlets were covered, taped, and labeled “Out of Service 5/10/2023.” Room L and Room K water outlets are located on a sink that also has water bubblers for drinking that did not test above the 5.5ppb lead exceedance.

Per Director, water outlets with led exceedance were faucets that were only used for handwashing. Faucets were not used for drinking or food preparations. Prior to the lead testing the facility was already using water filters on the faucets that tested above the 5.5ppb lead exceedance. As part of the correction, director placed electric portable sinks for children to use for hand washing and will provided LPA a written plan on how often water filters will be changed by facilities personnel.

On 06/02/2023, licensee failed to maintain a lead value at or below the Action Level for water lead testing resulting with values of 5.5 ppb or greater for outlets A, B, H, and I. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink.

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SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HERITAGE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 197418525
	VISIT DATE: 06/02/2023

NARRATIVE

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Although Director sealed off faucets with plastic bags, labeled out of service and has electric portable hand washing sinks available in Classrooms B, C, K, and L to correct the issue, an Action Level Exceedance was still recorded and noted by a certified drinking water sampler indicating that there is lead in the water at the facility. Therefore, the following deficiency is being cited in accordance with California Code of Regulations Title 22.

Director has posted lead testing results, in a location (facility lobby) consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility will notify all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water outlets A, B, H, and I.

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

Exit interview conducted and report was reviewed with Margaret Miller, Director.

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SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

Document Has Been Signed on 06/02/2023 02:50 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HERITAGE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 197418525
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/02/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/02/2023 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	101700.3(b)(1) (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidence by:	1 2 3 4 5 6 7	Water sources identified with ALE were corrected prior to inspection. LPA observed faucets sealed off with plastic bags, labeled out of service and electric portable hand washing sinks available in Classrooms B, C, K, and L to correct the issue. Per director, as part of the correction, a written plan indicating how often water filters will be changed by facility personnel will be submitted by 06/16/2023.
	8 9 10 11 12 13 14	Based on record review, the licensee did not ensure water sources at facility meet lead requirements. Lead test results showed that four water sources, outlet A, B, H, and I have an action level exceedance. LPA observed water sources are inaccessible to children.	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: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia Hernandez	TELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023

LIC809 (FAS) - (06/04)

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