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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191801031
Report Date: 02/22/2024
Date Signed: 02/22/2024 01:57:10 PM

Document Has Been Signed on 02/22/2024 01:57 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PARA LOS NINOSFACILITY NUMBER:
191801031
ADMINISTRATOR:NANCY GALVEZFACILITY TYPE:
830
ADDRESS:833-845 E. 6TH ST.TELEPHONE:
(213) 623-3942
CITY:LOS ANGELESSTATE: CAZIP CODE:
90021
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 19DATE:
02/22/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Elvira Rodriguez, Facility Representative (FR)TIME COMPLETED:
12:45 PM
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On 02/22/2024 at 11:30 am Licensing Program Analysts (LPAs) Katrina Chicote and Claudia Kam conducted an Unannounced Case Management Inspection and met with Facility Representative, Elvira Rodriguez, Director. LPAs disclosed the purpose of the inspection and was granted entry into the facility. FR provided guided tour of the facility both indoors and outdoors. Census was taken.There were 19 infants and 11 staff present during the inspection. LPAs discussed required postings at time of inspection.

The purpose of today's inspection was to discuss the water lead test results. Results show that water sources labeled C and Q had an Action Level Exceedance (ALE) of lead located in drinking fountains outside of hallway of RM-53 and RM-54. Upon inspection, LPAs observed that ALE water sources are drinking fountains at Preschool Program (#191870872).

At 11:40 AM. LPAs observed and took pictures of the water sources with ALE. Water sources were observed to be located in hallway outside of preschool classrooms. Per FR, they have not been using these drinking fountains as a source of drinking water and provide disposable water cups and water jugs in each classroom. LPAs observation confirm water jugs and paper cups available in each classroom at time of inspection. LPAs were provided with current Lead Testing results showing that water sources have been remediated and there is no more ALE. LPAs observed drinking fountains to be operable at time of inspection.

A deficiency was cited to ensure that the water sources with the exceedances will not be used as a drinking source or food preparation source for the children.

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

Exit interview was conducted and report was reviewed with the FR, Elvira Rodriguez.

Report Ends - Page 1 of 1
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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Document Has Been Signed on 02/22/2024 01:57 PM - It Cannot Be Edited


Created By: Katrina Chicote On 02/22/2024 at 01:07 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: PARA LOS NINOS
FACILITY NUMBER: 191801031

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2024
Section Cited
HSC
101700.3(b)(1)

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101700.3(b)(1)
(b) Testing results with fractional ppb 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... Action Level Exceedance. This requirement was not met as evidence by:
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Based on record review and observations, ALE sources have been remediated and have results that show no ALE. Per FR, water sources have also not been used as a source of drinking water and have been using water jugs in classrooms. LPAs observation confirm. Deficiency cleared.
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Based on record review the Licensee did not ensure water sources at facility to meet lead requirements. Lead test results showed that two water sources have an action level exceedance. This poses a potential health, safety, and personal rights 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:Denise Gibbs
LICENSING EVALUATOR NAME:Katrina Chicote
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
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