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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807988
Report Date: 03/02/2023
Date Signed: 03/02/2023 01:08:24 PM

Document Has Been Signed on 03/02/2023 01:08 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:SBCUSD-NEWMARK PRESCHOOLFACILITY NUMBER:
364807988
ADMINISTRATOR:LATASHIA KELLYFACILITY TYPE:
850
ADDRESS:4121 N. 3RD AVENUETELEPHONE:
(909) 730-3674
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 11DATE:
03/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:37 AM
MET WITH:Site Supervisor, Adriana FrancoTIME COMPLETED:
11:55 AM
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On 3/2/ 2023 Licensing Program Analyst (LPA) Maddox conducted an unannounced case management inspection. LPA met with Site Director Adrian Franco . The purpose of today's inspection is to conduct a case management inspection, and to notify them 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 (N) in an outdoor drinking fountain has an ALE of 8.8 ppb along with exterior outlets F,G,H, J, & K (North & South (K1/K2) fountains; and Exterior fountain right (B1-Staff); Exterior North water bubbler (K1/K2); Exterior South Water bottle fill). Exterior fountains are not utilized by classroom PS9. LPA observed exterior faucets taped and covered during this inspection. School maintenance has placed the water faucets as "out of service", LPA observed faucets taped and covered during this inspection. The center will notify authorized representatives of this corrective action in both languages English and Spanish.

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

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023
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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