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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808912
Report Date: 01/25/2023
Date Signed: 01/25/2023 12:51:18 PM


Document Has Been Signed on 01/25/2023 12:51 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:HERITAGE SCHOOL OF DISCOVERYFACILITY NUMBER:
503808912
ADMINISTRATOR:SIMONI, AMANDAFACILITY TYPE:
850
ADDRESS:1501 MAGNOLIA STREETTELEPHONE:
(209) 603-5042
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:54CENSUS: 52DATE:
01/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rebecca Garcia, DirectorTIME COMPLETED:
01:00 PM
NARRATIVE
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On 01/25/23 Licensing Program Analysts (LPA) Priscilla Zamudio and (LPA) Anita Tristan conducted an
unannounced case management inspection. LPAs met with Rebecca Garcia, Director, for the purpose of
conducting a case management inspection, regarding 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.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent
water lead sampling test. Based on records reviewed from Child Care Center Lead Sampling and Reporting
Tool and self-reported information to licensee #503808912 an outlet is impacted with an (ALE) of 7.1 ppb
in the staff kitchen in outlet A-Sink faucet-kitchen.

This result indicates out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlet has temporarily been made inoperable and has been replaced. Director agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler. Director stated children are provided water from a potable source in the kitchen by a third party water dispenser service where their water bottles are refilled.

Potable water is also made available to visitors and staff during hours of operation. Facility posted results for
parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition, parents and guardians were notified by letter and verbally of the (ALE) Per PIN 21-21-1 CCP WD 101704 (b)(3).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited:
(see next page, 809 D). Director was provided a copy of appeal rights. An exit interview was conducted. This
report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and
required to be posted for 30 days.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Priscilla ZamudioTELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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 01/25/2023 12:51 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: HERITAGE SCHOOL OF DISCOVERY
FACILITY NUMBER: 503808912

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2023
Section Cited

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(a) California’s Action Level for lead in water at Child Care Centers is 5 ppb.
(b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. Testing results with fractional ppb
readings of less than 0.5 ppb shall be rounded down to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (2) Licensees
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. (c) If testing indicates an Action Level Exceedance at any water outlet, the water from
that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
This requirement was not met as evidenced by:
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Director has notified and posted ALE results at a reasonable location for Authorized representatives to review. Director provided evidence of the repaired new fixture for (ALE of 7.1 ppb in Outlet A-sink faucet-kitchen) and will provide evidence of testing results at or below the action level.
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Based on record review provided by licensee indicating (ALE) of 7.1 ppb in outlet A-Sink Faucet-kitchen. These results indicate out of compliance over
(ALE) 5.5 ppb, which 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: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Priscilla ZamudioTELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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