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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801748
Report Date: 01/13/2023
Date Signed: 01/13/2023 12:32:38 PM


Document Has Been Signed on 01/13/2023 12:32 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:GRANITE HILLS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543801748
ADMINISTRATOR:RAYANI, SHAMEENFACILITY TYPE:
850
ADDRESS:1701 E. PUTNAMTELEPHONE:
(559) 782-0884
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:25CENSUS: 15DATE:
01/13/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Virgia Parma PerezTIME COMPLETED:
12:45 PM
NARRATIVE
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On 1/13/2023, LPA’s Ruby Ocegueda and Daniel Alvarez conducted an unannounced case management inspection. LPAs met with Site Supervisor Virginia Parma Peres 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. Records reviewed from the Environmental Laboratory Accreditation Program (ELAP) report and self reported information provided for facility Granite Hills Child Development Center showed impacted ALE of 7.1 ppb in outlet D and 11 ppb in outlet E. These results indicate out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). Outlets has temporarily been made inoperable and is in the planning stages of repair. Licensee agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler.

Children are offered drinking water that is placed in igloos and water cups. The two outlets that are located outside are made inaccessible. Licensee placed plastic wrap around fountains D and E. Fresh potable water is available to preschool children, visitors and staff during hours of operation. Facility also posted results for parents to review Per PIN 21-21 CCP WD 101703 (b). In addition parents and guardians have been notified of the (ALE ) Per PIN 21-21 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). Site Supervisor Virginia was provided a copy of appeal rights. An exit interview was conducted with Site Supervisor. 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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
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 01/13/2023 12:32 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: GRANITE HILLS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 543801748

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2023
Section Cited

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California Lead Action Level at Child Care Centers (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. (1) A result with values of 5.5 ppb 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 is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
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Licensee has notified parents and guardians and posted (ALE) results at a reasonable location for Authorized Representatives to review. Two reported impacted outlets have been made temporarily inaccessible and Site Supervisor agrees to submit updated ELAP report to the Department after repair by POC date 2/10/2023.
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This requirement was not met as evidence by: Based on record review provided by licensee indicating (ALE) Outlet D with an ALE of 7.1 ppb and Outlet E with a 11 ppb. This result indicates 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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
LIC809 (FAS) - (06/04)
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