198018225-1-9-2023-33-CC-MJAA-CMWQRU-20230109112432

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018225
Report Date: 01/09/2023
Date Signed: 01/09/2023 11:24:39 AM

Document Has Been Signed on 01/09/2023 11:24 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	PARA LOS NINOS HEAD START - HOLLYWOOD		FACILITY NUMBER:	198018225
ADMINISTRATOR:	ANGELA CAPONE		FACILITY TYPE:	850
ADDRESS:	5000 HOLLYWOOD BLVD		TELEPHONE:	(213) 250-4800
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90027
CAPACITY:	60	CENSUS: 20	DATE:	01/09/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Vanessa Quezada, Area Supervisor		TIME COMPLETED:	11:45 AM

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On 01/09/2023, at 8:05 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with Area Supervisor, Vanessa Quezada, who guided LPA on a tour of the facility. LPA observed 20 children in care with 6 staff members. Facility was within ratio & capacity. A COVID 19 risk assessment was conducted prior to entering the facility.

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 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 and LIC9275 to LPA on 01/09/2023.

On 12/13/2022, 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 10/14/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PARA LOS NINOS HEAD START - HOLLYWOOD	FACILITY NUMBER: 198018225
	VISIT DATE: 01/09/2023

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A – Drinking Fountain (11 UG/L) – Drinking fountain has never been used

B - Sink (9 UG/L) - Faucet currently not in use

C - Drinking Fountain (6 UG/L) - Drinking fountain has never been used

Area Supervisor stated that the facility has not used the the faucet in classroom 27 since since 2020 but has been fixed on 12/14/2022 and will be retested. Area Supervisor stated that the 2 drinking fountains located in the big playground have never been used for drinking. Area Supervisor stated that the facility has always provided Arrowhead water for children to drink, and provided LPA with a copy of the contract/bill dated back to 2014. The food preparation faucets did not have lead exeedance levels. Facility has put an "out of order/do not use" sign on and around the classroom faucet, and 2 drinking fountains and made it further inaccessible by attaching and securing shrink wrap around the outlet.

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

The facility is not being cited as none of the faucets with lead exeedance are being used for consumption or food preparation.

An exit interview conducted and a copy of this report was provided to, Area Supervisor Vanessa Quezada along with Notice of Site Visit. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

LIC809 (FAS) - (06/04)

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