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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008241
Report Date: 02/02/2023
Date Signed: 02/02/2023 01:49:06 PM


Document Has Been Signed on 02/02/2023 01:49 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:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198008241
ADMINISTRATOR:MARICRUZ FLORESFACILITY TYPE:
840
ADDRESS:10704 SCOTT AVE.TELEPHONE:
(562) 947-7100
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:30CENSUS: 0DATE:
02/02/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Maria CobianTIME COMPLETED:
02:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Cynthia Reyes conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with facility director, Maricruz Flores during the inspection. No school age children are present in the facility at this time. A COVID 19 risk assessment was conducted prior to entering the facility.

LPA 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 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.

On 11/05/2022, 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 11/22/2022. Faucet reported with 5.5 ppb or greater lead exceedance levels were as follows:

 H – Drinking Fountain inside School age Classroom (6.2 UG/L) Faucet currently not in use.

Director stated that the drinking fountain was used by children and children would bring their own drinking water bottles or they have jugs of water and disposable cups. The faucet’s use was terminated when the facility was informed by the analyst that it was exceeding acceptable levels. Facility has put an "out of order/do not use" sign on the fountain mouth piece (Photo provided) as well as taped it off all around the mouth piece and the second part of the water spout is only used for hand washing. Ms. Flores stated that she is having the faucet replaced and will obtain a retest of it afterwards.
See LIC809C for continuation.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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 3


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: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198008241
VISIT DATE: 02/02/2023
NARRATIVE
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The facility replace the fixture and the facility utilize the new fixture flushing tracking sheet and documented the 30 second flush, 4 times each day for 3 weeks and then have already requested a re-schedule of the lead retest date. Facility will notify the Department of the completion date.

The facility provided a copy of the facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA on 01/17/2023. LPA took a picture of the drinking faucet on this date.

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

See LIC809D for Type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative, Assistant Director, Maria Cobian. A copy of PIN 21-21-CCP and appeal rights were provided to the Director on this date. A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/02/2023 01:49 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: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198008241

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/02/2023
Section Cited

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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..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by
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Director stated that the drinking fountain was used by children and children would bring their own drinking water bottles or they have jugs of water and disposable cups. Director states she has replaced the fixture & will utilize the new fixture flushing tracking sheet and document the 30 second flush, 4 times each
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Based on record review, the licensee did not comply with the directive above, as one outlet (indoor drinking fountain) out of eight outlets tested with an Action Level Exceedance (ALE). This poses/posed a potential health, safety or personal rights risk to persons in care.
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day for 3 weeks and then will scheduled the lead retest date.The facility will provide a written statement on the time line of the fixture replaced, documented and retest date or will remove the water fountain and not use at all.

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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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
LIC809 (FAS) - (06/04)
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