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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009647
Report Date: 01/09/2023
Date Signed: 01/10/2023 07:51:24 AM


Document Has Been Signed on 01/10/2023 07:51 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:BELL GARDEN'S PRESCHOOL ACADEMYFACILITY NUMBER:
198009647
ADMINISTRATOR:MARIO MUNIZFACILITY TYPE:
850
ADDRESS:6430 COLMAR ST.TELEPHONE:
(323) 562-1800
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY:42CENSUS: 0DATE:
01/09/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Juan De Anda, Facility AdministratorTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced case management inspection on 01/09/23. LPA Mooberry met with Juan de Anda, Facility Administrator, who was informed of the purpose of this inspection. LPA was provided a tour of the facility. Also present was Mayra Ramirez, Site Supervisor. There were 0 (zero) children and 4 staff present during this inspection. This is a preschool program that operates two part itme sessions. The AM session is from 8:00 AM to 11:00AM and the PM session is from 12:45 to 3:45 PM.

LPA discuss with the facility water lead test results sampled on 12/20/22. Results show that a water source in the facility had Action Level Exceedance (ALE) of lead. The sink faucet located in the preschool kitchen, (inaccessible to children in care) had a lead result of 15.5 parts per billion (ppb).

A result with values of 5.5 parts per billion (ppb) or greater shall be deemed an Action Level Exceedance in accordance with the Lead Testing Written Directives section 101700.3 subsection (b)(1).

Per Site Supervisor, the sink faucet in the kitchen has not been used nor will it be used in the future for drinking water or food preparation. The facility offers filtered water that is delivered and used for drinking. There are no meals prepared in the facility. LPA observed water dispensers in each classroom and in the kitchen. The sink faucet in the kitchen has been replaced as a precaution.

LPA took photo of the sink in the preschool kitchen. Per Facility Administrator, a copy of the test results will be provided to licensing when they are received.

Exit interview conducted and report was reviewed with the Facility Representative Mayra Ramirez. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023
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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