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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910037
Report Date: 07/20/2023
Date Signed: 07/20/2023 10:47:59 AM


Document Has Been Signed on 07/20/2023 10:47 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:REDEEMER LUTHERAN PRESCHOOLFACILITY NUMBER:
360910037
ADMINISTRATOR:MONICA OSORIOFACILITY TYPE:
850
ADDRESS:920 W. 6TH STREETTELEPHONE:
(909) 986-6510
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:66CENSUS: 21DATE:
07/20/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Monica Osorio, DirectorTIME COMPLETED:
10:56 AM
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Due to required lead testing requirements, Licensing Program Analysts (LPAs), Elyse Jones and Blanca Ruiz conducted a Case Management inspection based on lead testing results received on the facility. LPA Ruiz toured the facility, took census and met with Monica Osorio, Director.

On August 17, 2022 the facility had a water/lead testing conducted and the results of the testing were as followed: Room A Fountain (15ppb); Room A Sink Faucet (10ppb); Room A Sink Faucet (5.8 ppb); Room B Sink Faucet (6.9 ppb); Room C Fountain (29ppb); Room D Sink Faucet (14ppb).Room E Sink Faucet (7.5ppb).

Appropriate corrections were made and the facility water was retested on December 8, 2022 which resulted "Not Detected".

Due to facility corrections being made and levels of lead being "not detected" prior to January 1, 2023 the facility was found to be in substantial compliance.

No deficiencies cited during this inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Monica Osorio, Director.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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