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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801985
Report Date: 02/09/2023
Date Signed: 02/09/2023 03:37:34 PM

Document Has Been Signed on 02/09/2023 03:37 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:PROSPERITY PRESCHOOLFACILITY NUMBER:
153801985
ADMINISTRATOR:KINA AMOSGANDYFACILITY TYPE:
850
ADDRESS:901 PLANTATION ROADTELEPHONE:
(661) 837-6144
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
02/09/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kina Amos GandyTIME COMPLETED:
04:00 PM
NARRATIVE
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On 02/09/2023, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Case Management inspection and met with Site Supervisor, Kina Amos Gandy. 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 recent water lead sampling test conducted on 12/10/2022. Based on records reviewed from Child Care Center Lead Sampling and Reporting Tool, outlet named B was impacted with an (ALE) of 23.6 PPB and outlet named C was impacted with an (ALE) of 81.8 PPB. Outlet B, a tilt skillet faucet and outlet C, a 'pot filler' spray hose are both located in the elementary school kitchen. These results indicates out of compliance of over (ALE) 5.5 PPB. (See Plan of correction for further corrective action see page LIC 809-D). Outlets B and C have been temporarily made inoperable.
Inside the classroom there is 1 water fountain which had a "none detected" lead level and is used for drinking purposes. The outside play yard has 2 water fountains which also had a "none detected" lead levels.

During this inspection, LPA Marquez spoke to Director Kim Reedy and advised her of this inspection and citation. LPA Marquez then met with Josh Rogers, Director of Nutrition Services. Rogers and LPA Marquez observed and discussed outlets B and C which have been taped off for non use by staff. Rogers agrees to continue with the re-sampling process for an action level result of under 5.5 PPB for compliance with a Certified Sampler.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a type B deficiency is being cited: (see next page, LIC 809-D). An exit interview was conducted with Kina Amos Gandy and this report was reviewed and provided. A Notice of Site Visit (LIC 9213) and copy of Appeal Rights was also 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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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 02/09/2023 03:37 PM - It Cannot Be Edited


Created By: Theresa Marquez On 02/08/2023 at 08:08 PM
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: PROSPERITY PRESCHOOL
FACILITY NUMBER: 153801985

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2023
Section Cited

101700.5

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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...(1) A result with values of 5.5 PPB or greater shall be deemed an Action Level Exceedance (ALE)...(c) If testing indicates an (ALE) 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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Director Kim Reedy provided a copy of Parent Notification that will be posted on the parent board in English and Spanish. Outlets B and C were made temporarily inoperable and taped for non use by staff.
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This requirement was not met as evidenced by record review provided by licensee indicating ALE of 23.6 PPB in outlet B and ALE of 81.8 PPB in outlet C. 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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Director of Nutrition Services, Josh Rogers of Prosperity Elementary School stated replacement and remediation of outlets B and C located in the elementary school kitchen is in process.

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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 Gavoutian
LICENSING EVALUATOR NAME:Theresa Marquez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023


LIC809 (FAS) - (06/04)
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