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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006406
Report Date: 05/07/2024
Date Signed: 05/07/2024 03:35:38 PM


Document Has Been Signed on 05/07/2024 03:35 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:L.A. NEW TIMES WESTERN SCHOOLFACILITY NUMBER:
198006406
ADMINISTRATOR:BYEONG KIMFACILITY TYPE:
850
ADDRESS:743 S. GRANDVIEW STREETTELEPHONE:
(213) 388-7700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90057
CAPACITY:107CENSUS: 58DATE:
05/07/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Site Supervisor Anna MartinezTIME COMPLETED:
04:00 PM
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On 5/7/2024 Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced case management inspection. A COVID 19 risk assessment was conducted. LPA met with Site Supervisor Anna Martinez. LPA observed a total of 58 children with 11 staff in care. Facility operates M-F from 8:00am-4:30pm.

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 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.

The purpose of today's inspection is to go over the water lead test results. Results indicate that fixture “D” faucet located in Kitchen had action level exceedance of lead. The "D" faucet located in Kitchen had a lead result of 7.4. During the visit, the site supervisor Anna stated that the kitchen faucet located in the kitchen was tested on 4/19/2024.

On 05/7/2024, 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 4/18/24. Faucet located in kitchen reported with 5.5 ppb or greater lead exceedance level were as follows:



· During this inspection, water outlet “D” located in kitchen, was observed to be in use. LPA took a photo of the faucet D. LPA informed site supervisor to immediately make the faucet inaccessible. LPA observed the faucet to be in use for cooking meals for the children. It was stated by Eun, kitchen cook that she uses faucet D to cook the children’s meals. Site supervisor was observed to have facet taped off with a sign indicating not to use. LPA observed faucet D to be made inaccessible. Per Eun Sung Lee, Kitchen cook faucet D is used daily meals for the children. Per site supervisor, she will contact company to come out for a retest. Site supervisor signed declaration stating that the faucet D will no longer be in use until a retest is done resulting in 5.5 or lower.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: L.A. NEW TIMES WESTERN SCHOOL
FACILITY NUMBER: 198006406
VISIT DATE: 05/07/2024
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supervisor signed declaration stating that the faucet D will no longer be in use until a retest is done resulting in 5.5 or lower.

LPA, Staicy Perry received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from Anna Martinez during today’s visit.

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

Deficiencies that are being cited need to be cleared to protect the children’s health & safety. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.


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

Exit interview conducted and report was reviewed with Site Supervisor Anna Martinez.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/07/2024 03:35 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: L.A. NEW TIMES WESTERN SCHOOL
FACILITY NUMBER: 198006406

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2024
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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During inspection, LPA observed the facet to be taped off with a sign indicating not to use. Site Supervisor will have a retset completed and will keep LPA informed during the process. A declaration was obtained by Site Supervisor indicating faucet D not to be used.
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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 an immidiate health, safety or personal rights risk to persons in care. Facility was observed using faucet D for childrens meals.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Staicy PerryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024
LIC809 (FAS) - (06/04)
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