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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012912
Report Date: 03/06/2024
Date Signed: 03/06/2024 09:42:10 AM

Document Has Been Signed on 03/06/2024 09:42 AM - 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: 22DATE:
03/06/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Priscilla Maddox - Assistant DirectorTIME COMPLETED:
10:15 AM
NARRATIVE
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 8:45am, LPA met with Assistant Director Priscilla Maddox, who guided LPA on a tour of the facility. There were children present during the time of the inspection.

Census was taken. LPA observed 22 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 Infant Room (Nursery) Faucet - Results 9.6ppb

Today's inspection is to address the Action Level Exceedance on a tested water outlet at the facility. At this time, the sink is used strictly for hygiene purposes in the Infant Room. This water outlet is not used as drinking water and is not used for any food prep (including washing of dishes or bottles). Assistant Director confirmed that parents provided pre-filled bottles with water from home. There is a Brita filter that is used to refill the waters of the children if they run out of water while at the facility. Any dishes, utensils, and bottles are being washed in staff lounge and returned to the authorized representative at the end of day.


REPORT CONTINUES PAGE 1 of 2
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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
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: 03/06/2024
NARRATIVE
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Per Assistant Director, the water outlet in Infant Room has already been replaced and they are awaiting an appointment scheduling to have it retested. Children in care do not have access to the water outlet due to their age/development, and the sink is too high for them to access.

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 deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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 Assistant Director Priscilla Maddox, at 10am, 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: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/06/2024 09:42 AM - It Cannot Be Edited


Created By: Nolan Tcheng On 03/06/2024 at 09:22 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: LIVING WAY DAY CARE CENTER
FACILITY NUMBER: 198012912

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2024
Section Cited
CCR
101700.3(b)(1)

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Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number...(1) A result with values of 5.5 or greater shall be deemed and Action Level Exceedance

This requirement is not met as evidence by:
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Per Assistant director, the faucet has been replaced for remediation. At this time, the facility will submit proof of new water sampling appointment to LPA by POC date. Test results will be submitted to LPA when available.
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Based on interview and record review, the licensee did not ensure that water outlet (Room 3 water faucet) with lead exceedance, were made inaccessible to children in care. This posed a potential risk to the health, safety, and personal rights of children in care.
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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:Claudia Guangorena
LICENSING EVALUATOR NAME:Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024


LIC809 (FAS) - (06/04)
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