198006164-3-21-2023-54-CC-MAYA-CQ5SKC-20230321135631

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198006164
Report Date: 03/21/2023
Date Signed: 03/21/2023 01:57:11 PM

Document Has Been Signed on 03/21/2023 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	EDU CARE PRESCHOOL		FACILITY NUMBER:	198006164
ADMINISTRATOR:	ELLIOT, SONNA		FACILITY TYPE:	850
ADDRESS:	4300 BELLFLOWER BLVD.		TELEPHONE:	(562) 377-1300
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90713
CAPACITY: 69	TOTAL ENROLLED CHILDREN: 33	CENSUS: 23	DATE:	03/21/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Director, Annette Covel		TIME COMPLETED:	02:15 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	On March 21, 2023 at 11:30 AM, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced case management inspection at the facility and met with Director, Annette Covel. The purpose of the inspection was to inform the facility that a lead testing exceedance was reported to the Department. There were 23 children and 6 personnel present during this inspection. LPA reviewed Assembly Bill (AB) 2370, Chapter 676, Statues of 2018, which requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test. A copy of the report that covers the analysis performed on samples submitted to Home Biotesting on February 15, 2023 was provided to LPA. The Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW) that the facility was inspected and samples were collected on February 17, 2023. The following sample was found to contain 5 ppb or greater lead content: Kindergarten Room Sink Faucet - 5.72 ppm. Per facility representative, the facility does not use any water outlets or faucets for consumption or food preparation. Facility representative stated that children bring their own water from home and water bottles are available. Facility representative also stated that snacks and meals are brought from the children's home each day which went into place since the facility reopened after the COVID-19 pandemic. Per facility representative, the facility contacts parents/guardians in the event a child forgets to bring their snacks or meal for the day.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EDU CARE PRESCHOOL	FACILITY NUMBER: 198006164
	VISIT DATE: 03/21/2023

NARRATIVE

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At 12:32 PM, LPA took a photograph of the Kindergarten Room Sink Faucet. LPA observed bottled waters available for the children inside the classroom. LPA also observed a children's restroom located inside the classroom that had two (2) other sinks available for hand-washing.

During the inspection, the facility representative posted "Water not to be used for Consumption" sign at the problem fixture and shut-off the water to the Kindergarten Room Sink Faucet. Per facility representative, the facility will reach out to their water system for guidance and will provide awareness to personnel.

LPA provided a copy of the Lead Poisoning Facts Flyer (PUB 515), Provider Information Notice (PIN) 22-06-CCP, and Lead Testing in Child Care Centers Frequently Asked Questions (FAQs).

Deficiency was cited during today's inspection, please refer to deficiency page.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted and a copy of the report was reviewed with Director, Annette Covel.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/21/2023 01:57 PM - It Cannot Be Edited

Created By: Monique Ayala On 03/21/2023 at 01:17 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: EDU CARE PRESCHOOL	FACILITY NUMBER: 198006164
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/21/2023 Section Cited 101700.3(b)(1)	1 2 3 4 5 6 7	101700.3(b)(1) California Lead Action Level at CCCs (b) Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater	1 2 3 4 5 6 7	The facility will continue to have the water shut-off to the Kindergarten Room Sink Faucet and keep the sign indicating that water is not for consumption. The licensee will have the Kindergarten Room Sink Faucet removed and submit proof of removal to the Department by April 21, 2023.
	8 9 10 11 12 13 14	shall be deemed an Action Level Exceedance. This requirement was not met as evidence by: Lead testing results showed that one (1) water sources has an action level exceedance which poses a potential health and safety risk to persons in care.	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:

Valarie Cook

LICENSING EVALUATOR NAME:

Monique Ayala

LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

LIC809 (FAS) - (06/04)

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