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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191605376
Report Date: 08/15/2024
Date Signed: 10/15/2024 09:26:59 AM

Document Has Been Signed on 10/15/2024 09:26 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:UNITED FAITH COMMUNITY DAY CARE CENTERFACILITY NUMBER:
191605376
ADMINISTRATOR/
DIRECTOR:		CAROL SANDERSFACILITY TYPE:
850
ADDRESS:6934 LONG BEACH BLVD.TELEPHONE:
(310) 639-0434
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 7DATE:
08/15/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Carol Sanders, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:30 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
Licensing Program Analyst (LPA’s) Keneisha Dunlap and Franchesca White arrived at the above facility for the purpose of an unannounced Lead Exceedance Case Management visit. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee Carol Sanders. There are 11 children enrolled, and 7 preschoolers present at the time of inspection. All adults in the facility have current criminal background clearance. Per Licensee, the hours of operation are Monday - Friday from 6:30 a.m. to 6:00 p.m.

LPA discuss with Licensee Carol Sanders the water lead test results sampled on 7/31/2024, results show that a water source in the facility had Action Level Exceedance (ALE) of lead. The Backyard Playground Water Fountain has a lead result of 45.3 parts per billion (ppb).

A result with values of 45.3 parts per billion (ppb) or greater shall be deemed an Action Level Exceedance in accordance with the Lead Testing Written Directives section 101700.3 subsection (b)(1).

A copy of PIN 21-21.1CCP and PIN 20-21-CCP was provided to Licensee Carol Sanders.

Licensee Carol Sanders provided LPA Dunlap with LIC 9275 and LIC 9276.

Licensee Carol Sanders states that children will not be using Backyard Playground Water Fountain. As of 8/14/24 a plumber came out to shut off water flow on Backyard Playground Water Fountain .

LPA Dunlap provided Licensee Carol Sanders with copy of Lead testing uploaded to Lead website.

At 1:20pm The Licensee stated that the Backyard Playground Water Fountain has not been used since July 2024, and water from cleared sink in kitchen will be used to fill children water bottles. The Licensee also states that the Backyard Playground Water Fountain will be retested on August 29, 2024.

Page 1 of 2

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: UNITED FAITH COMMUNITY DAY CARE CENTER
FACILITY NUMBER: 191605376
VISIT DATE: 08/15/2024
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
At 1:30pm LPA Dunlap tested fountain to make sure it was inoperable and took pictures of the Backyard Playground Water Fountain during the inspection.

A deficiency was cited to ensure that the Backyard Playground Water Fountain noted will not be used as a drinking source for the children.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 per day civil penalty.

Report was reviewed with the Licensee Carol Sanders. A copy of the report, and the appeal rights was given to Licensee Carol Sanders.

Page 2 of 2

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/15/2024 09:26 AM - It Cannot Be Edited


Created By: Keneisha Dunlap On 08/15/2024 at 01:23 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: UNITED FAITH COMMUNITY DAY CARE CENTER
FACILITY NUMBER: 191605376

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
101700.3(b)1)

1
2
3
4
5
6
7
(b)Testing results with fractional ppb readings of 0.05 ppb pr greater shall be rounded up to the nearest whole number, before comparing to the Action Level.
(1) A resul with values of 5.5 ppb or greater shall be deemed an Action Level of Exceedance.
1
2
3
4
5
6
7
Per the Licensee, the plan is the Backyard Playground Water Fountain values shut off until water is retested on August 29, 2024. The children will be using refillable water bottles with water from the kitchen sink, which has been cleared per lead testing.
8
9
10
11
12
13
14
This requirement was not met as evidenced by record review. Lead Test results showed that two water sources had an action level exceedance. LPA Dunlap observed the Backyard Playground Water Fountain values shut off so that children will not have access to fountain.
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:Karen Chambers
LICENSING EVALUATOR NAME:Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2024


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