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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191594688
Report Date: 10/15/2024
Date Signed: 10/15/2024 03:06:05 PM

Document Has Been Signed on 10/15/2024 03:06 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:L.A. COUNTY FAIR ASSOC. INFANT CENTERFACILITY NUMBER:
191594688
ADMINISTRATOR/
DIRECTOR:		ALEXIS GORDILLOFACILITY TYPE:
830
ADDRESS:1101 W. MCKINLEYTELEPHONE:
(909) 623-3899
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY: 62TOTAL ENROLLED CHILDREN: 77CENSUS: 57DATE:
10/15/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Site Supervisor Salina AvalosTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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 10/15/2024, Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced Case Management Lead Exceedance follow up inspection. A COVID 19 risk assessment was conducted. LPA met with Site Supervisor Salina Avalos, who guided LPA on a tour. LPA observed 57 infants and toddlers and 25 staff present at the facility during this inspection.

Per Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) 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.

Facility has provided copies of facility sketch and required forms LIC 9276, LIC999 and LIC9275 and lead sampling results from 6/2022 from the water sampler to LPA on 10/02/24. Per assistant director, same documents were provided to previous LPA E Bell. LPA S Li reviewed discrepancies from water board lead sampling results to water report provided from the sampler with assistant director. LPA advised for Assistant director to email water sampler to review and correct the discrepancies found. On 10/4/2024, assistant director received updated water sampling report from water sampler and forwarded report to LPA via email.

On 05/28/2022, 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 05/28/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:


Page 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: L.A. COUNTY FAIR ASSOC. INFANT CENTER
FACILITY NUMBER: 191594688
VISIT DATE: 10/15/2024
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
26
27
28
29
30
31
32
R – Faucet in PK 2 (47.800 UG/L) – Classroom faucet is currently bagged and labeled out of order. LPA observed that the faucet was attempted to be used as the bag had water in it. LPA observed supervisor turn off the water source from beneath the sink and verified that when handle is turned, no water comes through. Photo was captured during previous visit. LPA reviewed directives on water sampling report with site supervisor. Per previous interview with assistant director, faucet spout was replaced after initial water sampling, but re-test was never conducted. Lead Corrective action requires facility to re-test the outlet. Assistant director is going to contact water samplers to set up retesting and forward all necessary documents to LPA once retesting has been scheduled and keep LPA informed once results are received.

LPA advised Site Supervisor that lead testing results must be posted outside for parents to view until the next testing is conducted every 5 years from the date of the initial test. Site Supervisor will post updated lead test results on the Parent Board in the entryway of the facility.



A deficiency was cited on attached 809D page. The deficiency listed on the following page was reviewed with facility and is being cited in accordance with California Code of Regulations Title 22. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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

A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted and appeal rights was provided to Site Supervisor Salina Avalos.

Page 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/15/2024 03:06 PM - It Cannot Be Edited


Created By: Stephanie Li On 10/15/2024 at 02:49 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: L.A. COUNTY FAIR ASSOC. INFANT CENTER
FACILITY NUMBER: 191594688

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2024
Section Cited
CCR
101700.3(b)(1)

1
2
3
4
5
6
7
California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater...(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:
1
2
3
4
5
6
7
Per site supervisor, facility will contact water sampler and schedule restesting. Facility will email new forms to LPA when restesting is completed and keep LPA informed of results.
8
9
10
11
12
13
14
Based on record review, the licensee did not comply with the directive above, as one outlet (Faucet R located in Rm P2) out of twenty eight outlets tested with an Action Level Exceedance (ALE). This poses an immediate Health and Safety risk to children 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:Christina Gabelman
LICENSING EVALUATOR NAME:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3