364817394-9-19-2023-09-CC-SBRR-CVU3YW-20230919184039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364817394
Report Date: 09/19/2023
Date Signed: 09/19/2023 06:40:45 PM

Document Has Been Signed on 09/19/2023 06:40 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	EASTER SEALS CHILD DEVELOPMENT CENTER-ONTARIO		FACILITY NUMBER:	364817394
ADMINISTRATOR:	ANNA CRUZ		FACILITY TYPE:	830
ADDRESS:	2999 S. HAVEN AVE		TELEPHONE:	(909) 923-3352
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91761
CAPACITY:	48	CENSUS:	DATE:	09/19/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Director Anna Cruz		TIME COMPLETED:	06:30 PM

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Due to required lead testing requirements, Licensing Program Analyst (LPA), Susan Brewer conducted a Case Management inspection based on lead testing results on 02/24/2023, received on the facility. LPA S.Brewer toured the facility, took census and met with Licensee Director Anna Cruz, to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured the Kitchen and obtained photos of the following water outlets identified with lead exceedances from the report dated 02/24/2022, for Outlet M, 6.0 ppb, which is located in the Left Kitchen Sink and is used for consumption and to prepare food for all daycare children. LPA observed and obtained photos of required signage posted at outlets for cessation of use.

Facility implemented the following plan of action until formal remediation can be completed on water outlets: Covered water outlets and posted required signage for nonuse, completed repair and replacement of parts for outlet M, Left Kitchen sink. Per director, the lead results were posted for the public and a letter was sent to clients for notification on March 03, 2022.

Photos also obtained of additional source for access to water: The Facility has access to additional water resources: fountains/using water sports jugs for indoor/outdoor outlets that resulted at the approved levels.

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

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

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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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: EASTER SEALS CHILD DEVELOPMENT CENTER-ONTARIO	FACILITY NUMBER: 364817394
	VISIT DATE: 09/19/2023

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

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 S. Brewer provided Director Anna Cruz, 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.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/19/2023 06:40 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: EASTER SEALS CHILD DEVELOPMENT CENTER-ONTARIO	FACILITY NUMBER: 364817394
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/19/2023 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	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:	1 2 3 4 5 6 7	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.
	8 9 10 11 12 13 14	Based on records review of required lead testing conducted on 02/24/2022, the facility had lead values of 5.5 or above on water outlet M, left kitchen sink resulted in 6.0 ppb, which is a potential health and safety risk to persons in care.	8 9 10 11 12 13 14	Facility will notify CDSS with completion within 30 days.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

LIC809 (FAS) - (06/04)

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