197750015-2-15-2023-12-CC-APIN-CP3VSD-20230215154123

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750015
Report Date: 02/15/2023
Date Signed: 02/15/2023 03:41:33 PM

Document Has Been Signed on 02/15/2023 03:41 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LANCASTER MONTESSORI PRESCHOOL		FACILITY NUMBER:	197750015
ADMINISTRATOR:	LALANIE HERATH		FACILITY TYPE:	850
ADDRESS:	933 NEWGROVE AVE		TELEPHONE:	(661) 723-0026
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY: 63	TOTAL ENROLLED CHILDREN: 26	CENSUS: 11	DATE:	02/15/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Director-Karen Jones		TIME COMPLETED:	04:20 PM

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On 02/15/2023, Licensing Program Analyst (LPA) Andrea Pittman conducted a Case Management Inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Pittman met with the Director, Karen Jones. The purpose of the inspection was disclosed and entry was granted. Upon arrival, LPA observed 11 preschool children in care, along with 2 Teachers including the Director.

During the inspection, LPA informed the Director Karen Jones the results provided from SWRCB that indicated the facility had elevated levels of lead in the kitchen for the sink’s faucet. The Department was notified of the Action Level Exceedance (ALE), levels for the kitchen sink’s faucet (Sample A) of 6.4 UG/L. The SWRCB report sample listed facility inspected and collected sample on 01/13/2023. Results were provided to facility on 02/10/2023. Lab Job Number: 32590.

Director provided a copy of the LIC9275, LIC9276, Facility Sketch (999) and supporting photographs to LPA Pittman within the required timeline during the visit.

The Director stated during the inspection that “the children bring food from home” and the sink has never been used for eating, drinking, or cooking. Bottled water is brought from home by the children and when the children do not have bottled water, the facility provides bottled water they store in the kitchen.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LANCASTER MONTESSORI PRESCHOOL	FACILITY NUMBER: 197750015
	VISIT DATE: 02/15/2023

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Facility submitted notification to parents/authorized representatives of exceedance results and posted notice visible to parents.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency will be cited.

Facility was provided a copy of the appeal rights. An exit interview was conducted with the facility Director.

This report shall be made available to the public upon request. The Notice of Site Visit is provided and required to be posted for 30 days. Appeal rights and report have been provided to facility on this day.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023

LIC809 (FAS) - (06/04)

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