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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011086
Report Date: 02/14/2023
Date Signed: 02/14/2023 02:38:37 PM


Document Has Been Signed on 02/14/2023 02:38 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:WASHINGTON CENTERFACILITY NUMBER:
198011086
ADMINISTRATOR:PERALTA, B. & ORTIZ, AFACILITY TYPE:
850
ADDRESS:7804 S. THORNLAKE AVENUETELEPHONE:
(562) 699-1301
CITY:WHITTIERSTATE: CAZIP CODE:
90606
CAPACITY:80CENSUS: 13DATE:
02/14/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lead Teacher, Sandra MartinezTIME COMPLETED:
03:15 PM
NARRATIVE
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On 02/14/2023, at 1:15 PM, Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced case
management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA
met with facility Lead Teacher Sandra Martinez during the visit. Also present in the facility were 13 daycare children and 3 additional teachers/staff. Facility was within ratio & capacity. A COVID 19 risk assessment was conducted prior to entering the facility and appropriate Personal Protective Equipment was worn by LPA.
Analyst 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 Lead Teacher 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.
Facility provided facility sketch and required forms LIC 9276, LIC 999 and LIC 9275 to LPA on 11/28/22.
On 12/22/22, 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 10/8/22. Faucets and drinking fountains reported with 5.5 ppb or greater lead
exceedance levels were as follows:

 Sample Site I – Bubbler Faucet in Room 13 (8.00 UG/L) – Faucet was removed and capped off on 11/21/22.

Lead Teacher Sandra Martinez stated the facility has not been using Room 13 due to low enrollment. The Lead Teacher stated that the faucet was removed on 11/21/22 and LPA observed on this day that the faucet has been removed and capped off.

Page 1 of 2 - See LIC809C for continuation…
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
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: WASHINGTON CENTER
FACILITY NUMBER: 198011086
VISIT DATE: 02/14/2023
NARRATIVE
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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, Sandra Martinez.

A copy of PIN 21-21.1-CCP and appeal rights were provided to facility today.
A notice of site visit was also provided and must remain posted for 30 days.

Page 2 of 2

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/14/2023 02:38 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: WASHINGTON CENTER
FACILITY NUMBER: 198011086

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2023
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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Lead Teacher Sandra Martinez stated the outlet found to be in lead exceedance, bubbler in Room 13, was removed and capped off on 11/21/22. LPA observed on this day that the faucet has been removed and capped off.
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Based on record review, the licensee did not comply with the directive above, as one outlet (a bubbler used for drinking) out of nine outlets tested with an Action Level Exceedance (ALE). This poses an immediate Health and Safety risk to children in care.
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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3