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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500316988
Report Date: 01/17/2023
Date Signed: 01/17/2023 02:23:43 PM


Document Has Been Signed on 01/17/2023 02:23 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:EL VISTA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
500316988
ADMINISTRATOR:NUNES, HEIDIFACILITY TYPE:
850
ADDRESS:450 EL VISTA AVENUETELEPHONE:
(209) 574-1972
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:47CENSUS: 28DATE:
01/17/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Heidi NunesTIME COMPLETED:
02:45 PM
NARRATIVE
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On January 17, 2023 Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced case management inspection. LPA McWilliams met with Director Heidi Nunes. The purpose of today’s inspection was to conduct a case management inspection and to notify the facility that there has been a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. LPA conducted a tour of the facility inside and out and a census was taken.

Fresno North Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from FACS and discussions with Director Nunes it has been determined that there is an exceedance to outlet I in the facility. LPA McWilliams inspected outlet I it was observed to be a drinking fountain that was impacted with 5.6 ppb(ALE) of lead. Director Nunes, has discontinued the use of I by; replacing the drinking fountain and flushing and retesting.

The faucet was replaced and flushing of the new faucet started on July 5, 2022. On August 17, 2022 outlet I was retested and on October 7, 2022 the new results were received showing outlet I having a level of 2.9ppb.

(See plan of correction for further corrective action 809D). Director Nunes has notified authorized representatives of this corrective action in both languages; English and Spanish.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809D). Director Nunes were provided a copy of the appeal rights. An exit interview was conducted with Director Nunes.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2023
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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Document Has Been Signed on 01/17/2023 02:23 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: EL VISTA CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 500316988

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2023
Section Cited

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(a)California’s Action Level for lead in water at Child Care Centers is 5ppb.(b) Testing results with fractional ppb readings of 0.5ppb... (1) A result with values of 5.5ppb or greater shall be deemed an Action Level Exceedance. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet,
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Director states that the guardians have been informed of the exceedance, the faucet has been replaced flushed and retested on 8.17.2022 with results of 2.9ppb.
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... is not safe to drink and an immediate response... This requirement was not met by evidence by: Based on record review provided by FACS a result of (ALE) of 5.6 for outlet I which is out of compliance over the allowable ALE 5.5ppb. This poses a 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: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2023
LIC809 (FAS) - (06/04)
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