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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016038
Report Date: 01/11/2023
Date Signed: 01/11/2023 03:54:24 PM


Document Has Been Signed on 01/11/2023 03:54 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:SOUTH REGION EARLY EDUCATION CENTER #1 (ESCALANTE)FACILITY NUMBER:
198016038
ADMINISTRATOR:ERNESTINE LARAFACILITY TYPE:
850
ADDRESS:7221 S. ATLANTIC BLVDTELEPHONE:
(323) 890-2380
CITY:CUDAHYSTATE: CAZIP CODE:
90201
CAPACITY:175CENSUS: 26DATE:
01/11/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Caremen Cazares, Office ManagerTIME COMPLETED:
04:00 PM
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On January 11, 2023, at 2:30 am., Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced case management inspection and met with Carmen Cazares, Office Manager. LPA disclosed the purpose of the inspection and was granted entry into the facility by.

There were 31 children and 19 staff present during the inspection.

The purpose of today's inspection was to discuss the water lead test results. Results show that 10 water sources have action level exceedance (ALE) of lead. The drinking fountains in Rooms #2-5 and the water fountains in the hallway have a lead exceedance of 30 points per billion (ppb), 6.36 ppb, 5.08 ppb, 6.90 ppb, 6.02 ppb, 17.5 ppb, 9.65 ppb, 267 ppb, 37.8 ppb, 119 ppb.

LPA observed and tested all water sources with ALE. Water sources in classroom are operable. Per facility staff, filter have been added and ALE has been corrected. LPA observed that the water fountains in the hallway are off an inaccessible to children. Lead results have been posted where they are accessible to parents. LAUSD facility maintenance has not given a date for corrections when corrections will be completed. A deficiency was cited to ensure that the water faucets with the exceedance will not be used as a drinking source or food preparation source for the children.

All meals are prepackaged and delivered daily by Los Angeles Unified School District (LAUSD). Food is not cook or prepared at the facility.

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 that is being cited needs to be cleared to protect the children’s health & safety.
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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
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: SOUTH REGION EARLY EDUCATION CENTER #1 (ESCALANTE)
FACILITY NUMBER: 198016038
VISIT DATE: 01/11/2023
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 A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and Plans of Corrections were reviewed and developed with Facility Representative. A copy of this report and appeal rights were discussed and left with Facility Rep, Ana Vidal, whose signature on this form confirm receipt of these documents.

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SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/11/2023 03:54 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: SOUTH REGION EARLY EDUCATION CENTER #1 (ESCALANTE)
FACILITY NUMBER: 198016038

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2023
Section Cited

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101700.3(b)(1)
(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 Exceedance.
This requirement was not met as evidence by:
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Water sources showing ALE have had filter added or are shut off and children do not have access. Maintenance date is pending to complete corrections. Principal or Lead Exceedance team will send LPA an email confirming correction by POC date 1/31/22.
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Based on record review the licensee did not ensure water sources at facility meet lead requirements. Lead test results showed that 10 water sources have an action level exceedance. LPA observed water sources have had filter added or are off and inaccessible to children.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
LIC809 (FAS) - (06/04)
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