198010880-10-9-2024-33-CC-SSAN-D9VMPY-20241009094755

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198010880
Report Date: 10/09/2024
Date Signed: 10/09/2024 09:48:01 AM

Document Has Been Signed on 10/09/2024 09:48 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	MONTROSE PRESCHOOL & INFANT CARE		FACILITY NUMBER:	198010880
ADMINISTRATOR:	ERICA PATTERSON		FACILITY TYPE:	830
ADDRESS:	2700 MONTROSE AVENUE		TELEPHONE:	(818) 249-4048
CITY:	MONTROSE	STATE: CA	ZIP CODE:	91020
CAPACITY:	28	CENSUS: 11	DATE:	10/09/2024
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Lisa Castaneda		TIME COMPLETED:	09:50 AM

NARRATIVE

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On 10/08/24 , at 08:30 am ,Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival, LPA met with Facility Representative , Lisa Castaneda ,who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 11 children with 6 staff members .

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 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 facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA prior to today’s inspection .

On 09/20/24 , 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 07/06/22. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels for the center were as follows:

- C- Sink Faucet in the kitchen near storage-24.000 ppb

Director states that faucet was flushed and samples were collected on 11/08/2022. Per Director sink was not in use .

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

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Shushanik Safaryan	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

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: MONTROSE PRESCHOOL & INFANT CARE	FACILITY NUMBER: 198010880
	VISIT DATE: 10/09/2024

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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.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of the report and appeal rights were provided to facility today.

An exit interview conducted with Lisa Castaneda on 10/09/24.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Shushanik Safaryan	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/09/2024 09:48 AM - 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: MONTROSE PRESCHOOL & INFANT CARE	FACILITY NUMBER: 198010880
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/09/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/16/2024 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number...(1) A result with values of 5.5 or greater shall be deemed and Action Level Exceedance This requirement was not met as evidence by:	1 2 3 4 5 6 7	Director stated , faucet was not in use. C faucet was flushed and retested .
	8 9 10 11 12 13 14	C-faucet in the kitchen had value of 24 which is greater than 5.5 .	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Brandi VanOosten	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Shushanik Safaryan	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC809 (FAS) - (06/04)

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