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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012912
Report Date: 10/03/2023
Date Signed: 10/03/2023 02:53:42 PM

Document Has Been Signed on 10/03/2023 02:53 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LIVING WAY DAY CARE CENTERFACILITY NUMBER:
198012912
ADMINISTRATOR:RFACILITY TYPE:
830
ADDRESS:835 HASTINGS RANCH DR.TELEPHONE:
(626) 351-6253
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 23DATE:
10/03/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Darlene Simone - DirectorTIME COMPLETED:
03:20 PM
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Licensing Program Analysts (LPA) Nolan Tcheng and Suzana Safaryan conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 2:10pm, LPA met with Director Darlene Simone, who guided LPAs on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 23 children with 5 staff members

LPA reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPAs during today’s inspection.

On 08/12/2023, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 08/12/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

· D - Room 3 Nursery Faucet - Results 9.6ppb

Director states that the parents of the children bring their own filled bottles or sippy cups with water from home. There is a table top Brita filter that is used for children if they need to refill their bottles if they run out of water. Infant bottles, utensils, and additional items, as well as the filling of the Brita filter, are all washed in the staff lounge sink which did not test with action level exceedance. This done before the end of day and items returned to the families. LPAs reviewed the sink in the Nursery Classroom (Room 3) that is too high for children in that classroom to reach or access. It is strictly used for hygiene practices by staff.


REPORT CONTINUES PAGE 1 of 2
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIVING WAY DAY CARE CENTER
FACILITY NUMBER: 198012912
VISIT DATE: 10/03/2023
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Facility does not prep food at their school other than snacks which are stored in the staff lounge. Dry goods and fruit are prepped in the staff lounge before being brought to classrooms.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit

https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

The facility is not being cited as none of the faucets with lead exceedance are being used for consumption or food preparation.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

An exit interview conducted with Director Darlene Simone, at 3:05pm, and a copy of this report was provided.

END OF REPORT PAGE 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023
LIC809 (FAS) - (06/04)
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