197493299-2-23-2023-30-CC-JLAO-CPBK4T-20230223063448

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493299
Report Date: 02/22/2023
Date Signed: 02/23/2023 06:35:52 AM

Document Has Been Signed on 02/23/2023 06:35 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	FOX CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	197493299
ADMINISTRATOR:	LIZBETH RUIZ TORRES		FACILITY TYPE:	850
ADDRESS:	10201 WEST PICO BLVD. BLDG.102		TELEPHONE:	(310) 369-7212
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	84	CENSUS: 5	DATE:	02/22/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Lizbeth Ruiz Torrez		TIME COMPLETED:	02:00 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 2/22/2023, Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management visit- LEAD Exceedance. LPA Laureano was greeted by director Lizbeth Ruiz-Torres, facility director and granted entry into the facility. Director guided LPA Laureano on a tour of the preschool facility. LPA observed 5 preschool children and one staff member in classroom, Preschool 2. Facility currently has an Infant License #19749330. LPA observed and inspected all classrooms and director confirmed that only Preschool 2 is currently being used. 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. Community Care Licensing was notified that lead water testing conducted at the facility on December 2022 exceeded allowable limit for lead. Samples testing over 5.5 ppb/ug L and above is considered an exceedance. The purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE) and conduct an inspection. On 1/25/2023 LPA Laureano via email received the following documents from facility, LIC 9275, LIC 9276, Facility Sketch (water faucets/outlets identified), pictures of fixtures and test results. LPA Laureano took pictures of faucets/ outlets. The facility has been identified to have 1 water facet/outlet with an Action Level Exceedance (ALE) in the amount of lead in water being 5.5pb, or greater. LPA Laureano confirmed with director the following outlet/faucets were identified as exceedance of lead and shall remain inoperable. Preschool Classroom 1- Room 400

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FOX CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197493299
	VISIT DATE: 02/22/2023

NARRATIVE

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LPA Laureano observed all outlets identified with an Action Level Exceedance to be made inaccessible to the children in care. Director confirmed children have not had any access due to classroom being closed since March 2020.
LPA Interviewed director and observed classroom closed; making the identified sinks/outlets that has been identified as exceedance of lead inaccessible to the children in care- children are not present in Preschool Classroom 1/ Room 400.

Based on observation, interviews and sampling records it has been determined that there was a violation of Licensing Regulation Title Division 12, Chapter 1, Subchapter 5 – California Lead Action Level at Child Care Centers 101700.3(b)(1), “A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance”. Lead water testing samples taken on 12/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today’s visit 2/22/2023. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. In Accordance with California Code of Regulations. Refer to LIC 809-D.

LPA discussed Proof of Correction (POC) with Director. All faucets identified with an Action Lead Exceedance of 5.5 ppb or over have been made inaccessible to the children in care- classroom has been closed since March 2020. These outlets will not be accessible for use until a retest has occurred. A notification of letter has been drafted by facility and has sent out to parents with notification of cease of water outlets and remediation for planned for water outlets or alternative. Director will send LPA a copy of the letter via email by 3/3/2023. Facility has completed the repairs and facility has completed a second test of identified outlets. Director will email LPA a copy of the re-test summary once completed.
Instructions for required lead testing are outlined in PIN 21-21. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in a parts per billion (ppb) unit of measurement.
For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600. Please see Provider Information Notice (PIN) 20-01-CCP for more information about lead toxicity prevention
Director received Notice of Site Visit and copy of this report.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/23/2023 06:35 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FOX CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197493299
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/22/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/22/2023 Section Cited	1 2 3 4 5 6 7	101700.3(b)(1), A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance	1 2 3 4 5 6 7	Faucet/ sink has been placed inoperable. Facility sumbitted a plan of correction to LPA on 1/25/2023. Water outlets in room 400- Preschool 1 is not available to children. classroom is closed.
	8 9 10 11 12 13 14	Based on observation, interviews, and review of Lead water testing samples taken on 12/2022 revealed that levels of lead were beyond allowable amount deemed by the State of California. Room 400-PReschool 1 water fountain had a lead exceedance levels of sample "B" at 5.67 This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	Facility has made repairs, notified famiiles of the lead testing and will provide LPA with a copy of the notificaiton. A restest has been completed and once results are availalbe, a copy will be sent out to LPA.
	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: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

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