197418267-7-20-2023-30-CC-SPOL-CTWUJP-20230720153753

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418267
Report Date: 07/20/2023
Date Signed: 07/20/2023 03:38:02 PM

Document Has Been Signed on 07/20/2023 03:38 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	NORMANDIE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	197418267
ADMINISTRATOR:	MARIA GARCIA		FACILITY TYPE:	850
ADDRESS:	6306 S. NORMANDIE AVENUE		TELEPHONE:	(323) 752-3122
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 17	CENSUS: 13	DATE:	07/20/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	02:44 PM
MET WITH:	Tieyesha Hodge, Lead Teacher		TIME COMPLETED:	03:56 PM

NARRATIVE

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On 07/20/2023, Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced case management visit. LPA Powell was met by Lead Teacher due to Director absence. LPA Powell informed Lead Teacher about the purpose of the visit and was guided on a tour of the facility. There were 13 children in attendance with 3 teachers during today’s visit.

The facility has been identified to have 2 water outlets with an Action Level Exceedance (ALE) in the amount of lead in the water being 5.5 ppb, or greater. The purpose of today’s visit is to ensure that faucets are not in use and there is another source of water for children and staff at the facility.

On 07/19/2023, LPA Powell contacted Director Maria Garcia via telephone and informed Director of the testing results. LPA also provided Lead Teacher with the Written Directives in PIN PIN 21-21.1-CCP for Lead Water Testing and the lead testing report to be posted in facility to meet the results requirement. Facility was also given a copy of the Effects of Lead Exposure pamphlet to be given to parents/representatives of children.

Director provided LPA with a copy of the results of lead water sample testing conducted by Enthalpy Analytical Environmental. Testing was conducted on 06/05/2023 and samples were received by the laboratory on 06/13/2023. Per the report, the following water outlets yielded the following results:

1.) Sink Faucet A (inside classroom 1):6.4 ppb

2.) Drinking Fountain B (hallway): ND

3.) Water Filter C (Inside kitchen (L): ND

4.) Sink Faucet D (Inside of Room 5): 6.3 ppb

LPA Powell received the following documents via email on 07/19/2023: External Water Sample Self-Certification Form (LIC 9275), Signed and dated Child Care Center Sampling Checklist Form (LIC 9276), Facility Sketch (fully labeled with locations of all water outlets). During inspection LPA observed Faucet A and Faucet D fully covered and signs posted out of order do not use.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NORMANDIE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 197418267
	VISIT DATE: 07/20/2023

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During today’s visit LPA Powell conducted a tour of the facility and observed 2 water outlets that were bagged, taped, and labeled with the “Do Not Use” signage. These outlets were identified on the facility sketch. Director stated that the children do not consume water from the water outlets nor is use for food preparation. Director stated that all food is brought into the facility pre packaged by vendor daily.

Based on observation, interviews and supportive documents it has been determined that Normandie Christian Preschool violated Child Care Licensing Regulation Division 12, Chapter 1, Subchapter 5 101700.3 (b)(1) California Lead Action Level at Child Care Centers. A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. Lead water testing samples taken on 06/05/2023 revealed that levels of lead were beyond allowable amount deemed by the State of California. This facility is being cited (1) deficiency during today’s visit. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. Refer to LIC 809-D for deficiency page.

LPA discussed Proof of Correction (POC) with Lead Teacher.

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. Please see Provider Information Notice (PIN) 21-21.1CCP for more information about lead toxicity prevention

LPA provided technical assistance and discussed Q&A Lead Testing in Child Care Centers frequently asked Questions.

Exit interview conducted and appeal right explained. A copy of this report, appeal rights, and Notice of Site Visit provided to Lead Teacher .

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/20/2023 03:38 PM - It Cannot Be Edited

Created By: Shandra Powell On 07/20/2023 at 03:20 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NORMANDIE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 197418267
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/20/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/30/2023 Section Cited CCR 101700.3(b)(1)	1 2 3 4 5 6 7	California Lead Action Level at Child Care Centers. 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: Lead water testing samples taken on 06/05/2023 revealed that levels of lead	1 2 3 4 5 6 7	Lead Teacher/Director will take required actions to correct the violation. During inspection both outlets were covered and taped with signage posted.
	8 9 10 11 12 13 14	were beyond the allowable amount deemed by the State of California. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care.	8 9 10 11 12 13 14	Director stated she will submit second testing to LPA by POC date of 08/30/2023 are before and outlets will not be used for any reason.
	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:

Karren Starks

LICENSING EVALUATOR NAME:

Shandra Powell

LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2023

LIC809 (FAS) - (06/04)

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