360900582-3-24-2023-12-CC-KZIS-CQ8RB2-20230324125202

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360900582
Report Date: 03/24/2023
Date Signed: 03/24/2023 12:52:09 PM

Document Has Been Signed on 03/24/2023 12:52 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION		FACILITY NUMBER:	360900582
ADMINISTRATOR:	DAISY CALDWELL		FACILITY TYPE:	850
ADDRESS:	3041 SIERRA WAY		TELEPHONE:	(909) 886-4911
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY:	45	CENSUS: 4	DATE:	03/24/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Facility Representative, Kathryn Booker		TIME COMPLETED:	01:00 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	On March 24, 2023, Licensing Program Analyst (LPA) Zirbes conducted an unannounced case management inspection. LPA Zirbes met with facility representative Kathryn Booker. The purpose of today's inspection was to conduct a case management inspection, and to notify the facility there has been a lead exceedance referred for an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on the records reviewed outlet (A) an outdoor drinking fountain had an ALE of 6.100ppb, outlet (B) an indoor drinking fountain within the office had an ALE of 26.000, outlet (C) an indoor drinking fountain within the Lego room office had an ALE of 16.000ppb, outlet (D) a drinking fountain in the dress up room had an ALE of 23.000ppb, outlet (E) a indoor drinking fountain in the ABC room had an ALE of 8.400ppb, outlet (F) a sink faucet in the ABC room had an ALE of 5.500ppb, outlet (G) a sink faucet in the office had a ALE of 7.500ppb, and outlet (H) a sink faucet in the Lego Room had an ALE of 20.000ppb. Drinking Fountains (A, B, C, D, E) have been disabled by either removing the handles or shutting off the water to the drinking fountain. During this inspection LPA tested drinking fountains (A, B, C, D, E) and observed the drinking fountains were disabled. Per conversation with facility representative, the drinking fountains have not been utilized by the child care children. Per facility representative, the children bring filled water bottles from home. When the children go outdoors, the children bring their water bottles outside. If a child forgets their water bottle, the child is provided with a bottle water. If a childs water bottle needs to be filled up during day, the water bottle is filled utilizing bottled water. LPA completed a interview with the facility representative who reported sink faucets (F, G, H) are only utilized for hand washing. Facility representative reported snacks are provided by the families and all food items are pre-washed at the families home. In addition the families provide packaged drinks for the children. Facility Representative stated apples were utilized for an art project however the fruit was pre-washed and the staff utilized "fruit wipes" to clean the apples. Report continued on page two

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION	FACILITY NUMBER: 360900582
	VISIT DATE: 03/24/2023

NARRATIVE

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Report continued from page one

LPA reviewed the facility history. The annual inspection conducted on June 8, 2022 indicated drinking water is readily available indoors and outdoors as the children bring personal water bottles each day. Per the parent handbook, parents are asked to provide a water bottle for their children. This facility operates a three hour preschool program.
Based on interviews and file review at this time there is no violation of the Title 22 requirements.

An exit interview was conducted with facility representative, Kathryn Booker.

This report shall be made available to the public upon request. The Notice of Site Visit was provided and is required to be posted for 30 days.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

LIC809 (FAS) - (06/04)

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