304370181-3-22-2023-06-CC-SGUZ-CQ6TGG-20230322144306

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370181
Report Date: 03/22/2023
Date Signed: 03/22/2023 02:43:15 PM

Document Has Been Signed on 03/22/2023 02:43 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	CHAI TOTS		FACILITY NUMBER:	304370181
ADMINISTRATOR:	TENENBAUM, BINIE		FACILITY TYPE:	850
ADDRESS:	5010 BARRANCA PARKWAY		TELEPHONE:	(949) 786-5000
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	50	CENSUS: 16	DATE:	03/22/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	01:56 PM
MET WITH:	Bini Tenenbaum, licensee		TIME COMPLETED:	03:00 PM

NARRATIVE

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On 03/23/2023 Licensing Program Analysts (LPAs), Stella Gutierrez conducted an unannounced Case Management inspection visit for the purpose to discuss the Lead Sampling Testing conducted on 02/07/2023. LPA met with Binie Tenebaum, Licensee who was explained the reason for today’s visit and was provided a tour of the facility. LPA observed 05 pre school staff and 16 preschool children.

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 12/20/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE).

Instructions for required lead testing are outlined in PIN 21-21.1-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.

Child Care 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 03/10/2023 that the Lead Sample Report was to be posted. LPA did observe the facility had posted the Lead Sample Report

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SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella Gutierrez	TELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHAI TOTS	FACILITY NUMBER: 304370181
	VISIT DATE: 03/22/2023

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Outlet J the only outlet that tested positive for elevated levels of lead. The outlet is a sink with a drinking fountain and is located inside classroom Red Room. Outlet J is a drinking faucet that had a level of 18.0 . On 02/07/2023 LPA received pictures from the facility director via email that the site does have a sign that reads "Do Not Use" and is covered tape making it inaccessible to children in care. The facility provides water cups for the children and children also bring their own water bottles from home and refillable from outlet H that was tested results ND. The licensee stated that she will remove Outlet J drinking faucet completely.

Based on LPA interview with staff, review of facility sketch and walk-through, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101700.3 (b)(1)California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.

Exit interview conducted with the licensee, Bini Tenenbaum. The report was reviewed and discussed. Appeal Rights were discussed. Director 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.

Director 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 Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella Gutierrez	TELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/22/2023 02:43 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHAI TOTS	FACILITY NUMBER: 304370181
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/22/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/03/2023 Section Cited	1 2 3 4 5 6 7	101700.3 (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, 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	During today's inspection LPA observed the outlet to be inaccessible to the children in care and the licensee stated that the outlet J will be completely removed. The licensee stated that the facility used that faucet for the first 10 years when open and the for the past 5-6 years have not used it. The licensee stated that she will forward a picture to LPA once the faucet is
	8 9 10 11 12 13 14	This requirement is not met evidenced by record review of the lab report analysis from Outlet A taken on 02/07/2023. Results indicated levels of lead in exceedance in outlet J. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14	completely removed by 04/03/2023. stella.gutierrez@dss.ca.gov
	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: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella Gutierrez	TELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

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