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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004770
Report Date: 04/27/2023
Date Signed: 04/27/2023 11:48:06 AM


Document Has Been Signed on 04/27/2023 11:48 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ALTADENA NURSERY SCHOOL, INC.FACILITY NUMBER:
198004770
ADMINISTRATOR:JANET YOUNGFACILITY TYPE:
850
ADDRESS:789 N. ALTADENA DRIVETELEPHONE:
(626) 296-1231
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:45CENSUS: 32DATE:
04/27/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Jill Jones & Stephanie Zieger - Co-directorsTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 10:50am, LPA met with Jill Jones and Stefanie Zieger, Co-directors, who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 32 children and 12 staff/parents.

LPA 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 during today’s inspection.

On 01/31/2023, 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 01/31/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

  • D - Drinking Fountain Art Room - Results 10.00ppb
  • F - Drinking Fountain Toddler Area - Results 7.90ppb
  • G - Sink Faucet - Preschool Room - Results 11.00ppb

Director states that the children do not use the water fountains for outlets D and F due to the malfunction of the outlets. Children bring their own water bottles from home for the half day program. There is a table top filter pitcher for the facility to refill bottles and fill cups. REPORT CONTINUES PAGE 1 of 2
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
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


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALTADENA NURSERY SCHOOL, INC.
FACILITY NUMBER: 198004770
VISIT DATE: 04/27/2023
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Water Outlet I in the playground is used as a water fountain as well for children to drink from. Water outlet G is located in the office and is not accessible to children. LPA observed Outlets D and F covered by a plastic bag, being made inaccessible to children in care.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit

https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

An Advisory Note - Technical Violation is being address during today's inspection, for the lead exceedances reported to the department.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

An exit interview conducted with Stefanie Zieger, at 11:30am, and a copy of this report was provided.

END OF REPORT PAGE 2 of 2

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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