198015719-10-29-2024-33-CC-CRES-DAHR36-20241029123926

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015719
Report Date: 10/29/2024
Date Signed: 10/29/2024 12:39:32 PM

Document Has Been Signed on 10/29/2024 12:39 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	GLENDORA UNIFIED SCHOOL DISTRICT PRESCHOOL		FACILITY NUMBER:	198015719
ADMINISTRATOR/ DIRECTOR:	MICHELLE GALLO		FACILITY TYPE:	850
ADDRESS:	301 S. LORAINE AVENUE		TELEPHONE:	(626) 963-1611
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91741
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 120	CENSUS: 63	DATE:	10/29/2024
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Marlene Gomez, Director		TIME VISIT/ INSPECTION COMPLETED:	12:28 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 and to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with facility director, Marlene Gomez who guided LPA on a tour of the facility. LPA observed 63 children in care; Facility was within ratio & capacity. A COVID 19 risk assessment was conducted prior to entering the facility.

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 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.

Facility provided facility sketch and required forms LIC 9276, LIC999, LIC9275 and lead report to LPA on this date 10/29/2024.

On 05/13/2024, 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 03/12/2024. Faucets was reported with 5.5 ppb or greater lead exceedance levels were as follows:

A – Kitchen Fountain 5.8 ppb. (200.8 UG/L) – Faucet/fixture was removed, changed and retested.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GLENDORA UNIFIED SCHOOL DISTRICT PRESCHOOL	FACILITY NUMBER: 198015719
	VISIT DATE: 10/29/2024

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Director stated that the kitchen faucet had never been used since Covid and they had it tested as part of the protocol and when the facility was made aware of the lead exceedance they had it fixed, retested and still had not used the kitchen at all until recently August of this year 2024.

LPA observed discrepancy on the departments report of 3 exceedance being showed and verification by telephone call with the vice president of Encorp water testing, Alexander Blankevoort who stated there was only the one exceedance faucet A in the kitchen.

LPA advised director that lead testing results must be posted outside for parents to view until the next testing is conducted every 5 years from the date of the initial test. Director will post updated lead test results on the Parent Board in the entryway of each class room.

A deficiency was cited on attached 809D page. The deficiency listed on the following page was reviewed with facility and is being cited in accordance with California Code of Regulations Title 22. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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

A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted and appeal rights was provided to Marlene Gomez, Director.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/29/2024 12:39 PM - It Cannot Be Edited

Created By: Cynthia Reyes On 10/29/2024 at 12:15 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GLENDORA UNIFIED SCHOOL DISTRICT PRESCHOOL	FACILITY NUMBER: 198015719
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/29/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/29/2024 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	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 was not met as evidence by	1 2 3 4 5 6 7	Director stated that the kitchen faucet had never been used since Covid and they had it tested as part of the protocol and when the facility was made aware of the lead exceedance they had it fixed, retested and cleared and they still had not used the kitchen at all until recently August of this yer 2024.
	8 9 10 11 12 13 14	Based on record review, the facility had a high lead exeedance of one outlet (Faucet A located in the kitchen) out of eleven outlets tested that poses a potential health and safety risk to children in care	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:

Christina Gabelman

LICENSING EVALUATOR NAME:

Cynthia Reyes

LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

LIC809 (FAS) - (06/04)

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