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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812348
Report Date: 10/26/2022
Date Signed: 10/26/2022 12:12:36 PM


Document Has Been Signed on 10/26/2022 12:12 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:RCOE-PERRIS HEAD START STATE PRESCHOOL EARLY HEADFACILITY NUMBER:
334812348
ADMINISTRATOR:CYNTHIA BERUMENFACILITY TYPE:
830
ADDRESS:148 AVOCADO AVENUETELEPHONE:
(951) 826-7200
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:63CENSUS: 31DATE:
10/26/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Cynthia Berumen-Site MangerTIME COMPLETED:
12:30 PM
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On October 26, 2022 at 11:15 AM, Licensing Program Analyst (LPA) Andrea Taylor conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Taylor met with Cynthia Berumen Site Manager (SM) who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing.

During the visit, LPA Taylor toured the facility and observed the 1 sink identified as having high levels of lead. The sink is located a storage room next to infant room 20. The sink faucet and handles were removed as soon as school received the lead test results, even though the sink has not been used for any reason. The SM told LPA that the sink has not been used by anyone for years as it is in a storage room and all the classroom have sinks.

Interviews with staff revealed the sink is not used for staff or children for any reason. The sink is located in an area which has always been just a storage area. The sinks inside the classrooms are utilized for hand washing and bottled water is used for drinking.

An exit interview was conducted with SM. A copy of this report, appeal rights and a Notice of Site Visit was issued.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2022
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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