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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750088
Report Date: 02/13/2024
Date Signed: 02/13/2024 03:02:49 PM

Document Has Been Signed on 02/13/2024 03:02 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:KIDS N COLORS DAYCARE, INC.FACILITY NUMBER:
197750088
ADMINISTRATOR:MARSHA JONESFACILITY TYPE:
850
ADDRESS:44405 FIG STTELEPHONE:
(661) 802-1672
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 5DATE:
02/13/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:48 PM
MET WITH:Licensee Israel MorenoTIME COMPLETED:
03:15 PM
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On 02/13/2024, 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 Licensee Israel Moreno. The purpose of today's inspection is to conduct a Case Management Inspection regarding an Action Lead Exceedance (ALE) of over 5 parts per billion (ppb) in the water at the facility. Upon arrival, LPA observed 5 preschool children in care with one staff providing care and supervision.

During the inspection, LPA informed the Licensee the results provided from SWRCB, indicated the facility had elevated levels of lead in the water 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 B30) of 18.0 UG/L and (Sample B) of 6.0 UG/L. The SWRCB report sample listed facility inspected and collected sample on 12/9/23. Results were provided to facility on 2/1/2024.

Licensee provided a copy of the LIC9275, LIC9276, Facility Sketch (999) and supporting photographs to LPA Pittman timely.

The Licensee stated during the inspection that meals are provided at the center; however, the sink has never been used for eating, drinking, or cooking. The Licensee has stated that bottled water has been bought since the start of the facility through the use of jugs filled at nearby water stores and gallon jugs. The Licensee stated that he has enlisted a contractor and had the pipes removed and replaced; the facility is in remediation as the water has not yet been retested. The Licensee plans on having the water retested no later than 2/29/2024.

Facility has not yet submitted notification to parents/authorized representatives of exceedance results; however, they have posted the notice visibly for parents viewing, this is a technical violation, the Licensee was provided technical assistance. The Licensee will provide proof of having submitted the notification to parents of the program via e-mail.

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SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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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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: KIDS N COLORS DAYCARE, INC.
FACILITY NUMBER: 197750088
VISIT DATE: 02/13/2024
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Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiency will be cited.

This report is recommended to be kept for three years and made available to the public upon request.

An exit interview was conducted, a copy of this Report, a Notice of Site visit, and Appeal rights were provided and discussed with the Facility Representative.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrea Pittman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
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