<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007146
Report Date: 10/13/2022
Date Signed: 10/13/2022 03:46:02 PM


Document Has Been Signed on 10/13/2022 03:46 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:EDGEWATER PRESCHOOLFACILITY NUMBER:
198007146
ADMINISTRATOR:ELIANA CARBAJALFACILITY TYPE:
850
ADDRESS:5270 ATHERTON STREETTELEPHONE:
(562) 597-5913
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:55CENSUS: 40DATE:
10/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Eliana CarbajalTIME COMPLETED:
03:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Warren Birks conducted an unannounced case management inspection on 9/8/2022. LPA Birks met with Eliana Carbajal who guided LPA on a tour of the facility. There was 40 children and nine staff present during the inspection.

The purpose of today's inspection is to review and discuss the September 22, 2022 water lead test results received on October 5, 2022. Results indicate that one water source had action level exceedance of lead. The water faucet in the Munchkins classroom had a lead result of 6.22. LPA Birks observed the faucet and (plumbing fixtures underneath the sink) were replaced with new non-lead plumbing fixtures. The faucet is not shut off because staff were directed by Lead Testing technicians to flush the water four times daily. However, staff keep the faucet covered with plastic and cover the sink with tape so it is inaccessible to children. Director Carbajal indicated the facility uses water from the kitchen (which was tested and indicated to have passing water levels).

At approximately 2:40pm LPA Birks took pictures of the water faucet and plumbing fixtures during the inspection. A deficiency was cited to ensure that the water faucet noted will not be used as a drinking source or food preparation source for children.

The deficiency listed on the following page was 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. Director Carbajal reiterated that the water source is not in use. Director Carbajal also indicated submitted a written plan of correction during todays visit. Therefore, the citation is cleared.

Exit interview conducted and report was reviewed with the Director Eliana Carbajal. 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: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2022
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 10/13/2022 03:46 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 CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: EDGEWATER PRESCHOOL
FACILITY NUMBER: 198007146

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/20/2022
Section Cited

1
2
3
4
5
6
7
(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level.

(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedence
8
9
10
11
12
13
14
This requirement was not met as evidence by record review. Lead test results revealed one water source had an action level exceedence. LPA Birks observed the water faucets to be made inaccessible with plastic bags and tape. This is a potential risk to the health and safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2