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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817136
Report Date: 07/26/2024
Date Signed: 07/26/2024 01:20:57 PM


Document Has Been Signed on 07/26/2024 01:20 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:MOUNTAINVIEW CHRISTIAN PRESCHOOLFACILITY NUMBER:
364817136
ADMINISTRATOR:LORETTA MACIASFACILITY TYPE:
850
ADDRESS:7986 HAVEN AVENUETELEPHONE:
(909) 948-8432
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:60CENSUS: 24DATE:
07/26/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Loretta vMacias/directorTIME COMPLETED:
01:40 PM
NARRATIVE
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On 7/26/24 at 11:40 am, Due to required lead testing requirements, Licensing Program Analyst (LPA) Patricia Berry conducted a Case Management inspection based on lead testing results received on the facility. LPA toured the facility, took census and met with Loretta Macias Director 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 outlets identified with lead exceedances: Outlet H (12 ppb) which is located in the red room and is identified as a drinking faucet and Outlet D (10) which is located in the green room and is identified as a drinking faucet. LPA observed and obtained photos of required signage posted at outlets H and D for cessation of use.


Facility implemented the following plan of action until formal remediation can be completed: All water outlets with exceedances shall not be used and water bottles will be provided. Facility's outlet H & D are drinking fountains located in the classrooms. Facility will be providing water bottles for indoor drinking water in the meantime. Facility plans to have the outlet repaired and retested. LPA observed notification of lead results posted at the facility entry- parent board.

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

Licensee shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.



Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022:


(Cont on 809C)
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 233-3964
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2024
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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Document Has Been Signed on 07/26/2024 01:20 PM - 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: MOUNTAINVIEW CHRISTIAN PRESCHOOL

FACILITY NUMBER: 364817136

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/26/2024
Section Cited
CCR
101700.3(b)(2)

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Written Directives 101700.3 (b)(2): Licensees shall maintain a lead value at ...5 ppb in all outlets subject to the testing requirements of these Written Directives...

This requirement was not met as evidence by:
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Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlets testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level.
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Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlet: H (12 ppb) and D (10) ppb.

This is a potential health and safety risk to persons in care.
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Facility will notify CDSS with completion within 30 days by 8/26/24..

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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 SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 233-3964
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MOUNTAINVIEW CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364817136
VISIT DATE: 07/26/2024
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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 Director with a copy of this report, appeal rights and notice of site visit.

Notice of Site Visit must be posted for 30 days.

This report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 233-3964
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3