360911001-12-6-2022-09-CC-PBEY-CLUNKS-20221206093224

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360911001
Report Date: 12/06/2022
Date Signed: 12/06/2022 09:32:34 AM

Document Has Been Signed on 12/06/2022 09:32 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:	FUSD/REDWOOD ELEMENTARY		FACILITY NUMBER:	360911001
ADMINISTRATOR:	DARCY WHITNEY		FACILITY TYPE:	850
ADDRESS:	8570 REDWOOD AVENUE		TELEPHONE:	(909) 357-5740
CITY:	FONTANA	STATE: CA	ZIP CODE:	92335
CAPACITY:	48	CENSUS: 37	DATE:	12/06/2022
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Lead Teacher/Jessica Heredia		TIME COMPLETED:	10:00 AM

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On 12/6/2022 at 9:02 am, Licensing Program Analyst (LPA), Patricia Berry conducted a Case Management inspection due to required lead testing requirements based on lead testing results received on the facility. LPA toured the facility, took census and met with led teacher Jessica Heredia to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and obtained photos of the following water outlet identified with lead exceedances: Outlet: I, was identified. LPA took photos of required signage for cessation of use.

Facility implemented the following plan of action until formal remediation can be completed on water outlet: I: Covered water outlet, posted required signage for non-use and will complete repairs to the outlet affected. Outlet I, is a drinking fountain on the playground and children are not using the outlet. Facility is in the process of repairs and retesting. LPA observed notification of lead results posted at the facility: Front door to classroom. Photos also obtained of additional source for access to water -include children bring there own water bottles and the facility provides water bottles s well.

Due to facility water outlet testing for lead exceedance level above approved lead levels, a deficiency has been cited. See LIC809D.

Additionally, the following resources were discussed and provided from PIN 21-21-CCP dated July 28, 2021:

(Cont on 809C)

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FUSD/REDWOOD ELEMENTARY	FACILITY NUMBER: 360911001
	VISIT DATE: 12/06/2022

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101700.6 Grant Funding for Qualifying Child care Centers

(a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria:

(1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age.

(2) Those that have 50 percent or more of their registered children who receive subsidized care.

(3) Those that operate only one facility.

(b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website.

(1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website

An exit interview was conducted, and appeal rights discussed. LPA provided lead teacher Jessica Heredia with a copy of this report, appeal rights and notice of site visit. This report must be made available to the public upon request for three years.

Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/06/2022 09:32 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FUSD/REDWOOD ELEMENTARY	FACILITY NUMBER: 360911001
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/06/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/27/2022 Section Cited	1 2 3 4 5 6 7	California Lead Action Level at Child Care Centers 101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by:
	8 9 10 11 12 13 14	Based on records review of required lead testing, the facility had lead values of 5.5 ppb or above on water outlet: I (8.4). This is a potential health and safety risk to persons in care.	8 9 10 11 12 13 14	Facility will notify CDSS with completion by POC due date: 12/27/2022. Facility will complete repairs and comple re-flush process required for retesting. LPA may need to extend POC due to winter break from 12/16/2022 -1/10/2023
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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: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC809 (FAS) - (06/04)

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