198007146-3-19-2024-54-CC-FWHE-D3HQ79-20240319115443

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198007146
Report Date: 03/18/2024
Date Signed: 03/19/2024 11:56:25 AM

Document Has Been Signed on 03/19/2024 11:56 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	EDGEWATER PRESCHOOL		FACILITY NUMBER:	198007146
ADMINISTRATOR:	ELIANA CARBAJAL		FACILITY TYPE:	850
ADDRESS:	5270 ATHERTON STREET		TELEPHONE:	(562) 597-5913
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	55	CENSUS: 46	DATE:	03/18/2024
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Breanna Ansorge, Director		TIME COMPLETED:	04:30 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) Franchesca White arrived at the above facility for the purpose of a Lead Exceedance - Case Management visit. LPA White announced the purpose of the visit, and was granted entry into the facility by Breanna Ansorge. There were 46 children present and 10 staff members. All staff have current criminal background clearance. LPA White reviewed new assembly Bill (AB) 2370, Chapter 676, Statues of 2018, which requires the testing for lead in Child Care Centers (CCCs) with facility Director, Breanna Ansorge during the inspection. Per AB2370, 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 a copy of the report that covers the analysis performed on the sample submitted to Terra Environmental as follows: Corrective Actions for Lead Exceedance in the Munchkins classroom (Faucet A). The written directives for Lead testing of Water in licensed child care centers (document PIN 21-21-CCP) were implemented and the Munchkins water fountain was replaced with approved Lead-free fixtures and follow up correction actions were taken to lower Lead levels below 5 ug/l. The newly installed cold-water faucet was conditioned for 21 days per 101705 follow0up Corrective Action Water Sampling instructions and Re-sampled on October 31, 2022, by Mr. Jesus Osuna, CDPH Lead Sampling Technician #LRC-00010273 of Terra Environmental Services, Inc. The samples were submitted for laboratory analysis to LA Testing for a7-day turnaround (TAT). After testing and flushing of faucet A, the lead level was <1.00 ug/l. The sample collected at the Munchkins Room (Faucet A) meets the requirements of AB 2370 and no other actions are recommended at the time. .....................................Report Continues 1 of 2 Pages.....................................................................

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EDGEWATER PRESCHOOL	FACILITY NUMBER: 198007146
	VISIT DATE: 03/18/2024

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Director Breanna Ansorge provided a digital copy of the entire report, samples, and photos to LPA White's email during today's inspection.

LPa White took picture of Faucet A in The Munchkins Classroom.

Based on today's record review, interview, and observation, there are no deficiencies cited today.

The Notice of Site Visit (LIC9213 - must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted with Director Breanna Ansorge and a copy of Appeal Rights (LIC9058) was discussed.

..............................................Report Ends 2 of 2 Pages ...........................................................................

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Franchesca White	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024

LIC809 (FAS) - (06/04)

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