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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910507
Report Date: 09/29/2022
Date Signed: 11/01/2022 04:26:22 PM


Document Has Been Signed on 11/01/2022 04:26 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/01/2022 02:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

NARRATIVE
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LPA Rachel Zeron made an unannounced visit to address the facility for have an exceedance of lead found in the drinking fountain that is located in the preschool area, right outside the school age classroom. The level was recorded at 36.1. Director indicated that the fountain has not been used in two years due to COVID 19. The facility has had the drinking fountain removed as a correction and will clear the POC that will be cited today.

Please see LIC 809-D for cited deficiencies

An exit interview was conducted, and a copy of this report, appeal rights and a Notice of Site Visit (required to be posted for the next 30 days) was provided to the Director Charlene Bunnell Mcalister on 09/29/2022. LPA verified the Notice of Site Visit was posted in a prominent location before leaving the facility.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 11/01/2022 04:27 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/01/2022 02:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: CHILDTIME CHILDREN'S CENTERS
FACILITY NUMBER: 360910507

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2022
Section Cited

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A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance
This requirement is not being met as evidenced by:
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One of the facility's drinking fountains had an exceedance of lead measured at 36.1.
This poses an potential health, safety or personal rights risk to persons in care.
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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: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022
LIC809 (FAS) - (06/04)
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