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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005598
Report Date: 03/22/2024
Date Signed: 03/22/2024 02:53:15 PM


Document Has Been Signed on 03/22/2024 02:53 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:SUNKIST HEAD START/STATE PRESCHOOLFACILITY NUMBER:
198005598
ADMINISTRATOR:ADRIANA VALENZUELAFACILITY TYPE:
850
ADDRESS:935 MAYLAND AVETELEPHONE:
(626) 931-7747
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:32CENSUS: 14DATE:
03/22/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rosie Ducoing & Imelda AparicioTIME COMPLETED:
03:15 PM
NARRATIVE
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On 3/22/2024, at 12:30 pm Licensing Program Analysts (LPAs) Carolyn Tuba and Priscilla Ochoa conducted an unannounced Case Management Lead Exceedance inspection. When LPAs arrived at the facility LPA, Carolyn Tuba called Program Director, Rosie Ducoing as she is located on another site. LPAs met with Program Director at approximately 1:00pm. A COVID 19 risk assessment was conducted. Program Director guided LPAs, who observed 14 children and 4 staff present at the facility during this inspection. During the course of the visit Program Director was called away and Site Supervisor, Imelda Aparicio reviewed report and signed on behalf of the Program Director.

The purpose of today's inspection is to go over the water lead test results received on 2/29/2024. Results indicate that Water Fountain fixture “A” located on the outside playground had a lead exceedance of 10 and Kitchen Sink fixture “O” located on campus at the Sunkist School Cafeteria’s Kitchen had a lead exceedance of 7 which exceed the regulation of less than 5.5 parts per billion. During the visit, LPAs took photos of where water fountain was located and the kitchen sink.

Per Program Director water is offered by children bringing water from home and refills are given with Sparklets bottled water, as well as having disposal cups.

Per Program Director she will be emailing LPA, Tuba the documentation of LIC 9275, LIC 9276, lead results and facility sketch by 3/28/2024.

On 10/7/2022 and 12/9/2022 licensee failed to maintain a lead value at or below the Action Level for water lead testing which resulted with values of 5.5 ppb or greater for Water Fountain fixture “A” water outlet and Kitchen Sink fixture “O” water outlet. Water testing results identified with Action Level Exceedance as defined in Written Directives section 101700.3 are not deemed safe to drink.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024
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: SUNKIST HEAD START/STATE PRESCHOOL
FACILITY NUMBER: 198005598
VISIT DATE: 03/22/2024
NARRATIVE
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LPAs advised 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.

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.

LPAs 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 Program 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.



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 Site Supervisor, Imelda Aparicio.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/22/2024 02:53 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: SUNKIST HEAD START/STATE PRESCHOOL
FACILITY NUMBER: 198005598

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/22/2024
Section Cited
CCR
101700.3

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101700.3 California Lead Action Level at Child Care Centers. "Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of the Written Directives, for the health and safety of children in care"

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Per Program Director "A" water outlet has been removed. "O" water outlet requires follow-up to see if it has been repaired and retested. Program Director will email retesting results to LPA, Tuba.
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This requirement is not met as evidenced by: Testing results provided by the facility with an Action Level Exceedance (ALE) of 10 on the "A" water outlet and "O" water outlet Action Level Exceedance (ALE) of 7, 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: 03/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024
LIC809 (FAS) - (06/04)
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