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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001658
Report Date: 01/30/2023
Date Signed: 01/31/2023 11:19:47 AM


Document Has Been Signed on 01/31/2023 11:19 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:CHILDREN'S INSTITUTE INC. (INFANTS)FACILITY NUMBER:
198001658
ADMINISTRATOR:MARY M. EMMONSFACILITY TYPE:
830
ADDRESS:711 S. NEW HAMPSHIRE AVE.TELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY:60CENSUS: 21DATE:
01/30/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Luissana Cano TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with site supervisor Luisanna Cano.

During the inspection Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA

Facility provided a copy of the facility sketch, LIC 9276, and LIC 9275 to LPA Lee prior to this the inspection.

On 09/27/22 and than again on 11/07/2022, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 09/22/2022 and than again on 10/27/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:
  • A sink in the kitchen located on the first floor of facility (19.5 UG/L) – The sink was tested initially on 09/22/22 and passed the second test on 10/27/22 per documents provided by the facility on 11/17/22
  • A sink in the classroom of the infant program (8.4 UG/L)- The sink was never used for food preparation or consumption prior to the test. The facility has not used the sink at all since the test results
  • A sink in a different classroom of the infant program (7.05 UG/L)- The sink was never used for food preparation or consumption prior to the test. The facility has not used the sink at all since the test results

Report continues on next page.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2023
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDREN'S INSTITUTE INC. (INFANTS)
FACILITY NUMBER: 198001658
VISIT DATE: 01/30/2023
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LPA Lee observed the two sinks located in the classrooms. The sinks located in the classrooms near the changing table was never used for any type of food preparation and consumption. Since the facility has never used the sinks for any type of food preparation or consumption since the results were provided, the facility was not cited during the inspection.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Site supervisor Luissana Cano. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023
LIC809 (FAS) - (06/04)
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