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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005523
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:54:48 PM


Document Has Been Signed on 01/12/2023 12:54 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CHILDTIME CHILDREN'S CENTER-INFANT PROGRAMFACILITY NUMBER:
198005523
ADMINISTRATOR:KARINA GONZALEZFACILITY TYPE:
830
ADDRESS:ONE WORLD TRADE CENTER, STE199TELEPHONE:
(562) 437-7498
CITY:LONG BEACHSTATE: CAZIP CODE:
90831
CAPACITY:38CENSUS: 9DATE:
01/12/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH:Alida FernandezTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced case management inspection on 1/12/2022. LPA Navarro arrived at the facility at 11:33am and met with Director Alida Fernandez, who guided LPA on a tour of the facility. There was nine children and three staff present during the inspection.

The purpose of today's inspection was to go over the water lead test results received on 09/10/2022. Results show that two water sources had action level exceedence of lead. Two water fountains located in an infant room had a lead result of 14.2 (221283-198005523-M) and 9.96 (221283-198005523-N). Per Director, the classroom was not being used at the time of the testing due to low enrollment.

Per Director, the piping and faucets were replaced and re-tested. LPA Navarro received a copy of the lead test results from 11/01/2022 which shows that the analytical results for the faucets located in the infant room are below action level. Due to faucets being replaced and analytical results for the faucets being below action levels there are no deficiencies being cited during today's inspection.

Exit interview conducted and report was reviewed with the Director Alida Fernandez. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023
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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