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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300613903
Report Date: 03/17/2022
Date Signed: 03/17/2022 10:58:49 AM

Document Has Been Signed on 03/17/2022 10:58 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LAMB OF GOD CHILD CARE CENTERSFACILITY NUMBER:
300613903
ADMINISTRATOR:COTTRELL, LISAFACILITY TYPE:
850
ADDRESS:2443 E. SOUTH STREETTELEPHONE:
(714) 772-0331
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 60TOTAL ENROLLED CHILDREN: 46CENSUS: 40DATE:
03/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Lisa Cottrell, DirectorTIME COMPLETED:
11:12 AM
NARRATIVE
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Licensing Program Analyst (LPA) Stacy Torrence conducted an unannounced Case Management Inspection. LPA Torrence met with Director Lisa Cottrell to discuss the Lead Sampling testing conducted on 11/12/2021. Census was taken. There were a total of 40 children and four staff supervising. Licensee was advised on 03/15/2022, that the Lead Sample Reports were to be posted. During today's inspection, LPA Torrence confirmed the Licensee did post the Lead Sample Reports next to the outlets.

Ms. Cottrell stated the outlets with high lead levels are inoperable. Ms. Cottrell had labeled and covered the outlets with plastic, and tape. Ms. Cottrell stated they have seven other water faucets, at the facility, for the children and staff to utilize. Mr. Cottrell also stated children are encouraged to bring their water bottles from home.

Based on LPAs record review the following violation was observed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached (LIC 809D.

An Inspection and exit interview were completed with facility representative. The report was reviewed and discussed. Appeal Rights was discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2022
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 03/17/2022 10:58 AM - It Cannot Be Edited


Created By: Stacy Torrence On 03/17/2022 at 10:34 AM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LAMB OF GOD CHILD CARE CENTERS
FACILITY NUMBER: 300613903

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2022
Section Cited
CCR
101238(a)

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101238(a) Buildings and Grounds.The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The requirement is not met as evidence by: Based on LPA’s record review, outlets B and E reported high lead levels. This poses a potential risk to the health of children in care.
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Director had labeled and covered the outlets with plastic, and tape. Per Director, the facility will use the seven other water faucets, as other water resources for children and staff at the facility. Per director, the children are encourage to bring their water bottle from home.
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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:Thuy Ho
LICENSING EVALUATOR NAME:Stacy Torrence
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2022


LIC809 (FAS) - (06/04)
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