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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019481
Report Date: 06/29/2023
Date Signed: 06/29/2023 03:56:05 PM


Document Has Been Signed on 06/29/2023 03:56 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:TOMORROWLAND ACADEMYFACILITY NUMBER:
198019481
ADMINISTRATOR:CLAIRE CHOUFACILITY TYPE:
850
ADDRESS:4126 N PECK RDTELEPHONE:
(626) 401-2489
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY:98CENSUS: 74DATE:
06/29/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Claire Chou TIME COMPLETED:
04:00 PM
NARRATIVE
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On 06/29/2023 at 2:30 PM, Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. A COVID 19 risk assessment was conducted prior to entering the facility- appropriate PPE was used. LPA met with facility Director Claire Chou during the visit. Census was taken-. facility was within ratio & capacity.

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 has not provided required forms LIC 9276, LIC999 (facility sketch) and LIC 9275 to the department- as it was their understanding the water company was going to do it. LPA advised that documents need to be completed and send in to the department. On 6/15/2023, 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 6/2/2023.----------------------------- pg. 1 of 2 --------------------------------------------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
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: TOMORROWLAND ACADEMY
FACILITY NUMBER: 198019481
VISIT DATE: 06/29/2023
NARRATIVE
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 Faucets reported with 5.5 ppb or greater lead exceedance levels were as follows:
  • Staff lounge faucet (12 UG/L) – During inspection LPA observed faucet has been replaced and it is in an off-limits area for children. Pictures were taken
  • Playground fountain towards the back of the playground (11 UG/L) – During inspection LPA observed fountain to be covered by a taped plastic bag and a sign stating it is out of order.
Director stated that the staff lounge faucet has never been used by children but has been replaced and will be retested. The water fountain has been made off limits as of now- their handy man is looking for the parts to be replaced. Per Director, children bring water from home and they also have water available to refill. Once fountain is replaced they will test both staff lounge faucet and playground water fountain and submit results to the department.

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.

A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with the facility representative, Director Claire Chou ------------------------------------------------ pg 2 of 2 --------------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/29/2023 03:56 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: TOMORROWLAND ACADEMY
FACILITY NUMBER: 198019481

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2023
Section Cited
CCR
101700.3(b)(1)

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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 me at evidenced by
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During the inspection LPA observed the staff lounge faucet to have been replaced and off limits to children. The playground water fountain was observed to be off limits by a taped bag and sign. Per Dir... once fountain is replaced they will restest and submit results to the dept..
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Based on ispection, the licensee did not comply with the directive above, as that 2 out of 12 faucets tested with an Action Level Exceedance (ALE) of 11 ppb and 12 ppb. This poses a potential 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: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
LIC809 (FAS) - (06/04)
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