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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801384
Report Date: 01/11/2023
Date Signed: 01/11/2023 03:45:42 PM


Document Has Been Signed on 01/11/2023 03:45 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:SENAIDA GARCIA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543801384
ADMINISTRATOR:MATEUS, CARLAFACILITY TYPE:
850
ADDRESS:528 S. CHINOWTHTELEPHONE:
(559) 735-0119
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:87CENSUS: 45DATE:
01/11/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Carla MateusTIME COMPLETED:
04:00 PM
NARRATIVE
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On 1/11/2023, Licensing Program Analysts (LPA) Theresa Marquez conducted an unannounced Case Management inspection and met with Site Supervisor Carla Mateus who accompanied LPA on a tour of the center, and a census was taken. The purpose of today's inspection is to address the lead exceedance, referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

The Fresno South Regional Office received notification of water lead exceedance at the facility resulting from a water lead sampling test collected on 10/21/2022. Records were reviewed from Dellavalle Laboratory Inc., and after discussions with Supervisor Mateus, it has been determined that there is an exceedance to outlets (C) and (D) at the center. LPA Marquez inspected both outlets that are located in classroom #1. Outlet (C) was impacted with 92ppb (ALE) of lead and outlet (D) was impacted with 12ppb (ALE) of lead. Supervisor Mateus stated that outlets (C) and (D) were replaced on 11/15/2022 and have been made inoperable to preschool children by placing a sign on both faucets and both faucets were wrapped not to use until both faucets can be retested. Mateus stated that all drinking water is obtained from the kitchen faucets which had a “none detected” level, the water is put into Igloo containers for outside use and/or disposable cups for classroom use as needed. Retesting of both outlets will be scheduled. (See plan of correction for further corrective action on attached LIC 809-D). Facility notified all the authorized representatives of this corrective action in English.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, LIC 809-D). An exit interview was conducted with Site Supervisor Carla Mateus and a copy of the Appeal Rights and this report was provided. 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: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 01/11/2023 03:45 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: SENAIDA GARCIA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 543801384

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2023
Section Cited

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California Action Level at Child Care Centers (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number ... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE). This requirement was not met as evidenced by:
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Per Site Supervisor Mateus all authorized representatives have been notified of the lead exceedance and testing results. The two outlets were made inoperable and replaced. Mateus states retesting of the 2 outlets is in progress.
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Based on record review, two outlets at the facility contained lead exceedance greater than 5.5 ppb. This poses a potential health, safety or personal rights risk to persons in care.

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Retesting is to be completed by 2/10/2023.

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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: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
LIC809 (FAS) - (06/04)
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