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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009944
Report Date: 10/18/2023
Date Signed: 10/18/2023 12:57:42 PM

Document Has Been Signed on 10/18/2023 12:57 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:TOWNE & COUNTRY PRESCHOOL & INFANT CENTER AT AQMDFACILITY NUMBER:
198009944
ADMINISTRATOR:GINA NICASTROFACILITY TYPE:
830
ADDRESS:21805 E. COPLEY DR.TELEPHONE:
(909) 861-9025
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 16TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
10/18/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Gina NicastroTIME COMPLETED:
09:20 AM
NARRATIVE
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Licensing Program Analysts (LPA) Jennifer Hua conducted an unannounced case management inspection on 10/18/2023. A COVID 19 risk assessment was conducted. LPA met with Director Gina Nicastro. The purpose of the visit was announced.

The purpose of today's inspection is to go over the water lead test results received. Results indicate that "K” and “L” water source had action level exceedance of lead. The "K" water source located in the Infant program had a lead result of 20 and the “L” had a lead result of 6.7. Per director, outlets were bagged and labeled when it was tested high. The outlets were retested and cleared on 1/10/2023 and had no deterrence. LPA observed that the outlets are now being used. The director stated that outlet "K" was flushed, and outlet "L" was changed out. Per director, ceased using the outlets as soon as results were received and the outlets were bagged and labeled making them inaccessible for children and staff, but previous to that date, children had access. Water source was obtained from the kitchen faucet filled with a water pitcher. LPA advised director to review PIN 21-21.1-CCP (Written Directives for Lead Testing of Water).

A deficiency is cited on attached 809D.

An exit interview conducted with director. Notice of Site Visit form was provided and must be posted for 30 days in an area accessible for review.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 10/18/2023 12:57 PM - It Cannot Be Edited


Created By: Jennifer Hua On 10/18/2023 at 08:55 AM
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TOWNE & COUNTRY PRESCHOOL & INFANT CENTER AT AQMD
FACILITY NUMBER: 198009944

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2023
Section Cited
CCR
101700.3(c)

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California Lead Action Level at Child Care Centers. Licensee failed to maintain a lead value at or below the Action Level for water lead testing of 5.5 ppb or greater for outlet "K" & "L". Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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Per director, exceedence have been remedied. Report received.

Deficiency has been corrected
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This requirement is not met as evidenced by: Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink. This poses an immediate Health and Safety risk
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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:Ana Chico
LICENSING EVALUATOR NAME:Jennifer Hua
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2023


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