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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270973
Report Date: 06/09/2022
Date Signed: 06/09/2022 10:29:10 AM


Document Has Been Signed on 06/09/2022 10:29 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:CATALYST KIDS-NEWPORT HEIGHTSFACILITY NUMBER:
304270973
ADMINISTRATOR:LEE, SION GLORIAFACILITY TYPE:
850
ADDRESS:300 EAST 15TH STREETTELEPHONE:
(949) 574-1411
CITY:NEWPORT BEACHSTATE: CAZIP CODE:
92663
CAPACITY:19CENSUS: 0DATE:
06/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:TIME COMPLETED:
10:45 AM
NARRATIVE
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Licensing Program Analysts, Stella Gutierrez and Patricia Duron conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 05/06/2022. LPAs met with Valerie Martinez, Teacher, who was explained the reason for today’s visit. LPAs did not observe any children in care.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 05/06/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedences (ALE).

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.


Facility staff was advised on 06/08/2022 that the Lead Sample Report was to be posted. LPAs observed the facility had posted the Lead Sample Report.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CATALYST KIDS-NEWPORT HEIGHTS
FACILITY NUMBER: 304270973
VISIT DATE: 06/09/2022
NARRATIVE
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Facility staff made contact with CCLD via email on 05/19/2022 stating that the outlet with high lead levels already been covered and will not be used until it is replaced, completed the 3-week flushing process and had a lead testing completed on it, with passing results. The faucet in Classroom 2 drinking fountain was observed in a picture that was provided that is covered with tape and sign to make inaccessible to the children or staff for use. The facility representative stated via email that they use reusable pitchers and provide the water from the other PASS sinks.

LPA’s observed faucet in classroom #2 that failed the allowable limit for lead has been replaced and remains inaccessible by the means of tape and a cup and is pending a retest. Facility staff stated that a retest is scheduled for 06/30/2022.

Based on LPAs record reviews 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.



Exit interview conducted with Valerie Martinez. The report was reviewed and discussed. Appeal Rights were discussed. Facility staff was provided 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 the Regional Office within 15 business days.

The staff 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.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/09/2022 10:29 AM - 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: CATALYST KIDS-NEWPORT HEIGHTS

FACILITY NUMBER: 304270973

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2022
Section Cited

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101238 Building and Grounds (a) 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. This requirement not met as evidence by:
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Based on lab report analysis water from faucet E (10.0 parts per billion). These faucets samples taken on 05/06/2022 indicate levels of lead in exceedance.
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reusable pitchers of water from the other PASS sinks readily available for the staff and children. Director stated that she will submit new restest results to LPA via email to stella.gutierrez@dss.ca.gov In addition to the results the facility staff will provide the log of the 3 week flush of the faucet in classroom #2.

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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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2022
LIC809 (FAS) - (06/04)
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