191290994-9-11-2024-58-CC-TBIM-D8ZR62-20240911124402

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191290994
Report Date: 09/11/2024
Date Signed: 09/11/2024 12:44:08 PM

Document Has Been Signed on 09/11/2024 12:44 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	WOODLAND HILLS PRIVATE SCHOOL		FACILITY NUMBER:	191290994
ADMINISTRATOR:	ROBIN A GEE		FACILITY TYPE:	850
ADDRESS:	22322 COLLINS STREET		TELEPHONE:	(818) 712-9966
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91367
CAPACITY:	144	CENSUS:	DATE:	09/11/2024
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Robin Gee		TIME COMPLETED:	01:00 PM

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On 09/11/2024 at 11:50 AM, Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced case management visit for the purpose of following up on Action Lead Exceedance (ALE), facility inspection. LPA met with Robin Gee, Director and toured the facility. During today’s visit there are 106 children and 7 teachers.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 12/06/2022. The sample test for the water fountains and sinks located inside of Rooms 5, 18, and 10 identified on the facility sketch by letter “E”, "J" and "I" , tested at 5.80, 6.80, and 6.30 bbp exceed allowable limit for lead. Test samples testing over 5.5 ppb and above is considered an exceedance.

On 9/10/24 LPA was provided with retesting results of the Lead Water Testing conducted at the facility on 2/28/2023. The water outlets were replaced in rooms 5, 8, and 10 prior to the center re-testing the water for lead. After the center re-tested for lead the results for rooms 5, 8, and 10, are 1.6, 1.2, and 1.2 bbp. The center has removed the handles for the water fountains in each room as well as turn off the water supply for the fountains.

Based on observation, interviews and supportive documents the facility is in compliance with Child Care Licensing Regulation Division 12, and Subchapter 5: 101700.3(b)(1) California Lead Action Level at Child Care Centers:

For more information, go to the California Childhood. Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb or call them at (510) 620-5600.

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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Tatiana Bickham	TELEPHONE: (424) 301-3023
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WOODLAND HILLS PRIVATE SCHOOL	FACILITY NUMBER: 191290994
	VISIT DATE: 09/11/2024

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See Provider Information Notice (PIN) 21-21CCP and Lead Testing in Child Care Centers Frequently Asked Questions.

The Notice of Site Visit – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this Report, and Notice of Site Visit were reviewed and provided to Robin Gee, Director.

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SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Tatiana Bickham	TELEPHONE: (424) 301-3023
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024

LIC809 (FAS) - (06/04)

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