198020498-9-19-2023-33-CC-TRAO-CVTRSX-20230919131729

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020498
Report Date: 09/19/2023
Date Signed: 09/19/2023 01:17:34 PM

Document Has Been Signed on 09/19/2023 01:17 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	PEORIA EARLY HEAD START CENTER		FACILITY NUMBER:	198020498
ADMINISTRATOR:	JUDY FAY CASHELL		FACILITY TYPE:	830
ADDRESS:	136 WEST PEORIA ST		TELEPHONE:	(818) 949-0019
CITY:	PASADENA	STATE: CA	ZIP CODE:	91103
CAPACITY:	36	CENSUS: 20	DATE:	09/19/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	11:53 AM
MET WITH:	Judy Fay Cashell, Director		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Thelma Razo 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. LPA met with facility Director Judy Fay Cashell and stated the purpose of the visit. Also present in the facility were 20 infants, 8 teachers and 1 assistant. 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 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 9275, LIC9276 and LIC999 to the Department during this inspection. On 11/15/2022, 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 10/22/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

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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Document Has Been Signed on 09/19/2023 01:17 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PEORIA EARLY HEAD START CENTER	FACILITY NUMBER: 198020498
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/19/2023 Section Cited HSC 101700.3(b)(1)	1 2 3 4 5 6 7	California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall be rounded before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.	1 2 3 4 5 6 7	Per Director, there was a retesting done on August 26, 2023 and came back negative. Report was provided to LPA on today's inspection. Deficiency was cleared on this visit.
	8 9 10 11 12 13 14	This requirement is not me at evidenced by thefood preparation (A & B) being tested with an Action Level Exceedance (ALE) of 7.8 & 6.8 UG/L. This 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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PEORIA EARLY HEAD START CENTER	FACILITY NUMBER: 198020498
	VISIT DATE: 09/19/2023

NARRATIVE

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Kitchen Food Preparation A (7.8 UG/L) – There was a retesting done on 8/26/23 and facility passed the lead testing.
Kitchen Food Preparation B (6.8 UG/L) – There was a retesting done on 8/26/23 and facility passed the lead testing.

Director stated that the facility has not been using the aforementioned areas since all food are being catered by outside vendor since they were licensed 10/2/2020. LPA reviewed the Parent's Handbook which verify the Director's statement. LPA observed each room has it's own cooler with filtered water and these coolers are not connected to any of the water outlets of the facility. According to Director, filtered water are being delivered by outside vendor.
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 copy of PIN 21-21.1-CCP was given to Director.
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.
A deficiency was cited per Title 22 of CA Code of Regulations. See LIC809D.
Exit interview conducted. Report and Appeal Rights were reviewed with Director.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

LIC809 (FAS) - (06/04)

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