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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191590259
Report Date: 03/05/2024
Date Signed: 03/05/2024 10:35:40 AM

Document Has Been Signed on 03/05/2024 10:35 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BALDWIN PARK CHILDREN'S CENTERFACILITY NUMBER:
191590259
ADMINISTRATOR:REBECCA JIMENEZ BARLOWFACILITY TYPE:
850
ADDRESS:13529 FRANCISQUITOTELEPHONE:
(626) 337-2711
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 204TOTAL ENROLLED CHILDREN: 88CENSUS: 57DATE:
03/05/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Program manager, Rebecca Jimenez Barlow TIME COMPLETED:
11:15 AM
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On 03/05/2024, at approximately 8:30 AM, Licensing Program Analyst (LPA) Mary Silva conducted an unannounced case management lead testing exceedance inspection for an Action Level Exceedance (ALE) detected in four water fixtures in the facility. LPA was greeted by program manager Rebecca Jimenez Barlow, whom the reason of the visit was explained. LPA was led on a tour of the facility. Census was taken. LPA observed 57 children and 15 staff. Facility was within ratio & capacity.
Analyst reviewed Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs). Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

On 02/08/2024, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 12/09/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

Sample Site A – Kitchen (6.800 UG/L) – Faucet currently not in use.
Sample Site C – Drinking Fountain (8.000 UG/L) – Faucet currently not in use.
Sample Site D – Drinking Fountain (6.700 UG/L) – Faucet currently not in use.
Sample Site G – Staff Lounge (5.600 UG/L) – Faucet currently not in use.

____________________________Page 1__________________________________
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BALDWIN PARK CHILDREN'S CENTER
FACILITY NUMBER: 191590259
VISIT DATE: 03/05/2024
NARRATIVE
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Program manager stated the facility has not used the outdoor fountains labeled C and D since Pre-Covid in 2019. Children bring water bottles from home, and the facility provides drinking water in-doors and out-doors. LPA observed water gallons and paper cups in the classrooms. The water faucet labeled A is in the kitchen and is no longer used for food prep. School district is temporarily providing breakfast, lunch and snacks for children in care. The water faucet labeled G is located in the staff lounge. The facility has placed an "out of service" signs and covered with plastic bags on faucets with lead exceedance making them inaccessible to children and staff. Program manager stated, the facility will remediate outlets A and G, and retest outlets prior to use. The outlets labeled C & D will be removed. Facility will provided the required forms LIC 999, LIC 9276, and LIC 9275 at a later time.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit
https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.


Exit interview conducted, appeal rights were given, and report was reviewed with the program manager, Rebecca Jimenez Barlow.

_______________________________Page 2_______________________________________

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/05/2024 10:35 AM - It Cannot Be Edited


Created By: Mary Silva On 03/05/2024 at 10:05 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BALDWIN PARK CHILDREN'S CENTER

FACILITY NUMBER: 191590259

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/05/2024
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:
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Program manager stated the outlet found to be in lead exceedance, the kitchen faucet, and the faucet in the staff lounge has not been used since results of lead exceedance was received. Facility has covered the water outlets
and posted appropriate "closed/do not
use" signage immediately around it.

Program manager
stated facility will have the water outlets labeled A & G remediated and retested before being used. Water Outlets labeled C & D will be removed. Program manager will provide LIC 9275, LIC 9276, LIC 999 to LPA and provide status by POC.
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Based on record review, the licensee did not comply with the directive above, as four outlet out of eight outlets tested with an Action Level Exceedance (ALE). This poses an potential Health and Safety risk to children 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:Christina Gabelman
LICENSING EVALUATOR NAME:Mary Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2024


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