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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004459
Report Date: 11/03/2023
Date Signed: 11/03/2023 04:36:24 PM


Document Has Been Signed on 11/03/2023 04:36 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:WESTERN CHRISTIAN SCHOOLSFACILITY NUMBER:
198004459
ADMINISTRATOR:CHRISTI NAVARRETTEFACILITY TYPE:
850
ADDRESS:3105 PADUA AVE.TELEPHONE:
(909) 626-1377
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:83CENSUS: 29DATE:
11/03/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Olivia CastilloTIME COMPLETED:
04:45 PM
NARRATIVE
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On 11/3/2023, Licensing Program Analysts (LPAs) Carolyn Tuba and Staciy Perry conducted an unannounced Case Management Lead Exceedance inspection. A COVID 19 risk assessment was conducted. LPAs met with Assistant Director, Olivia Castillo. Assistant Director guided LPA, Perry who observed 29 children and 5 staff present at the facility during this inspection.

The purpose of today's inspection is to go over the water lead test results received on 10/26/2023. Results indicate that fixture “E” sink faucet water source in Preschool Classroom #7 had a lead exceedance of 6.2 which exceed the regulation of 5.5 or less parts per billion. During the visit, LPAs learned that the faucet and the J-shape pipe was replaced. LPAs obtained the current results of the retesting of fixture “E” sink faucet water source that show that there is no longer a lead exceedance and have been provided copies. LPA, Perry took photos of the fixture “E” sink faucet water source. LPA, Tuba received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from Assistant Director on a prior visit, 10/26/2023.

LPAs advised Assistant Director that lead testing results must be posted outside for parents to view until the next testing is conducted every 5 years from the date of the initial test. Assistant Director stated that results have been posted on the Parent Board in the hallway of the facility.

A deficiency was cited on attached 809D. The deficiency listed on the following page were reviewed by the LPAs and is being cited in accordance with California Code of Regulations Title 22. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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

Exit interview conducted and report was reviewed with the Assistant Director, Olivia Castillo.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
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 2


Document Has Been Signed on 11/03/2023 04:36 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: WESTERN CHRISTIAN SCHOOLS
FACILITY NUMBER: 198004459

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2023
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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LPAs obtained new testing results for water source and per Assistant Director faucet and J-shaped pipe has been replaced.
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This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) which poses/posed a potential health, safety or personal rights risk to persons in care.
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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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
LIC809 (FAS) - (06/04)
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