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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750057
Report Date: 01/24/2023
Date Signed: 01/24/2023 03:15:09 PM


Document Has Been Signed on 01/24/2023 03:15 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:LITTLE ILEADERSFACILITY NUMBER:
197750057
ADMINISTRATOR:BUTERA, CANDICEFACILITY TYPE:
830
ADDRESS:28040 HASLEY CYN RDTELEPHONE:
(661) 383-0400
CITY:CASTAICSTATE: CAZIP CODE:
91384
CAPACITY:7CENSUS: 10DATE:
01/24/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Wendy DirectorTIME COMPLETED:
03:30 PM
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On Januaray 24, 2022, Licensing Program Analysts (LPA) Andrew Alemoh conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Alemoh met with the Director Wendy Ruiz, the purpose of the inspection was disclosed and entry was granted. Upon arrival LPA observed 10 infant children were observed and 5 staff present today.

During the inspection, LPA Alemoh informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water in the off limits staff lounge area sinks. The Department was notified of the Action Level Exceedance (ALE), levels of sink Q in the staff lounge presented levels of 24.00 UG/L and sink S 7.60 UG/L. The SWRCB report sample listed facility inspected and collected sample on 12/17/2022. Results were provided to facility on 12/17/2022. (Director did not receive a job number. Reference number is the facility licensee #197750057)
Director notified LPA Alemoh within the required timeline.

LPA advised Director, all water outlets tested with an ALE at the facility should be placed as out of service and children should be provided with an alternative portable water. LPA observed water bottles in every classroom, as well as children bring their own water bottles to the day care.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: LITTLE ILEADERS
FACILITY NUMBER: 197750057
VISIT DATE: 01/24/2023
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Director Wendy advised LPA Alemoh per the sample results, the kitchen sink from sample water Q (24.00UG/L), and S (7.60 UG/L) had high levels of lead. LPA Alemoh observed the kitchen sink to be covered and or taped for inaccessibility to children/staff present. Kitchen sink faucets is not utilized for food preparation and or drinking water. Director has notified all parents and will post a sign at each kitchen sink affected. According to the Director, children do not use the sinks located in the off-limits staff lounge area. Last time kitchen sinks were used were over five years+ ago. The Director stated the kitchen sink Q, and S will be assessed for repair at a later date.

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

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew AlemohTELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023
LIC809 (FAS) - (06/04)
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