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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015711
Report Date: 03/01/2023
Date Signed: 03/01/2023 04:15:49 PM


Document Has Been Signed on 03/01/2023 04:15 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:KIDS FIRST LEARNING CENTER - DOWNEYFACILITY NUMBER:
198015711
ADMINISTRATOR:CYNTHIA SAENZFACILITY TYPE:
850
ADDRESS:13200 COLUMBIA AVENUETELEPHONE:
(562) 803-0400
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:144CENSUS: 28DATE:
03/01/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:27 PM
MET WITH:Lizbeth Aguirre, Site SupervisorTIME COMPLETED:
04:25 PM
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On Wednesday, March 1, 2023 at 2:28 p.m., Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced case management Lead Testing exceedance inspection. LPA Rivera met with Site Supervisor Lizbeth Aguirre who guided LPA on a tour of the facility. There were 28 children and 4 staff present during the inspection.

Analyst Rivera reviewed new Assembly Bill (AB) 2370, Chapter 676, Statues of 2018, which requires the testing of for lead in Child Care Centers (CCCs) with facility Site Supervisor Lizbeth Aguirre during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1. 201, must have their water tested and post the results be January 1, 2023, and every 5 years after the sate of the first testing.

Facility provided a copy of the report that covers the analysis performed on samples submitted to LA Testing on 2/3/2023. On 2/15/23, 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 collected on 2/3/2023. Faucets reported with 6.61 and 6.53 ppb or greater lead exceedance levels as follows:

Room One -Sink faucet lead result of 6.61 and Room Two Sink faucet lead result 6.53

Site supervisor Lizbeth Aguirre informed LPA Rivera that the sink in room 2 has not been used due to the room not being occupied. She also indicated that the faucets have been retested and are still showing signs of execeedance. Lizbeth stated the faucets were being flushed 4 times a day for 3 weeks per tester Spencer. Spencer gave the facility a schedule for flushing. The plan is now to add a water filter to the sinks and retest. LPA Rivera observed sink area/faucets covered with plastic bag and a sign that says "out of order and do not use."
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2023
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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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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDS FIRST LEARNING CENTER - DOWNEY
FACILITY NUMBER: 198015711
VISIT DATE: 03/01/2023
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The sink area is inaccessible to staff and children. Site supervisor Lizbeth stated children drink water from a water dispenser and the items such as fruit and veggies are washed in the kitchen (which was tested and have passing water levels).

At approximately 2:55 p.m., LPA Rivera took pictures of the water faucets sink area (room 1 and 2). A deficiency was cited to ensure that the water fixture noted will not be used as a drinking source or food preparation source for children.

The deficiency listed on the following page was 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 being cited needs to be cleared to protect the children’s health & safety. Site Supervisor Lizbeth exhibited to LPA that the water source is not in use and submitted a plan of correction during todays visit.

The Notice of Site Visit (LIC 9213 –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 Site Supervisor Lizbeth Aguirre and a copy of Appeal Rights (LIC 9058) was discussed.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/01/2023 04:15 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 CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KIDS FIRST LEARNING CENTER - DOWNEY

FACILITY NUMBER: 198015711

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2023
Section Cited

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(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level.

(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedence is not met as evidence by:
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Site supervisor stated the faucets have been covered and a sign posted indicating :out of order and do not use." Site Supervisor stated the facility followed the orders by the tester to flush 4 times a day for three weeks and install a water filter and having the faucets retested once the filter is put in.
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Based on record review Room 1 and 2 sink faucets tested with an Action Level Exceedance 6.61 and 6.53. This poses an potential Health and Safety risk to the children in care.
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Site supervisor will continue to provide the status and updates regarding the faucets in room 1 and 2 with planned completion within 30 days by 4/1/23.

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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: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2023
LIC809 (FAS) - (06/04)
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