<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150407313
Report Date: 02/17/2023
Date Signed: 02/17/2023 09:55:01 AM

Document Has Been Signed on 02/17/2023 09:55 AM - 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:NUEVA VISTA PRESCHOOLFACILITY NUMBER:
150407313
ADMINISTRATOR:MICHAEL BLEDSOEFACILITY TYPE:
850
ADDRESS:120 GARCESTELEPHONE:
(661) 721-5009
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 11DATE:
02/17/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Petra GonzalezTIME COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On February 17, 2023 Licensing Program Analyst (LPA) Gloria Reyes conducted an unannounced case management inspection. LPA Reyes met with Director, Petra Gonzalez. The purpose of today’s inspection was to conduct a case management inspection as a result of 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 South 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 Petra Gonzalez it has been determined that there is an exceedance to outlet B in the facility. LPA Reyes inspected outlet B it was observed to be a drinking faucet in the off-limit area that was impacted with 5.5 ppb (ALE) of lead. This off-limit area is used by staff. Ms. Gonzalez has discontinued the use of outlet B by removing the drinking faucet and capped it. The facility uses bottle water for indoor use.

(See plan of correction for further corrective action 809D). Director, Petra Gonzalez 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). An exit interview was conducted, and a copy of the appeal rights 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.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/17/2023
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 02/17/2023 09:55 AM - It Cannot Be Edited


Created By: Gloria Reyes On 02/17/2023 at 09:44 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NUEVA VISTA PRESCHOOL
FACILITY NUMBER: 150407313

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/17/2023
Section Cited

101700.3

1
2
3
4
5
6
7
(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 or greater shall be rounded up to the nearest whole number... (1) A result with values of 5.5ppb or greater ...
1
2
3
4
5
6
7
LPA observed the posting of the results, letter to representatives, observed the removal of drinking faucet B and capped.
8
9
10
11
12
13
14
This requirement was not met by evidence by a record review provided by FACS, a result of (ALE) of 5.5ppb for outlet B 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.
8
9
10
11
12
13
14

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:Duane Matsubara
LICENSING EVALUATOR NAME:Gloria Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2023


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