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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014010
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:05:14 PM

Document Has Been Signed on 11/02/2022 01:05 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:LITTLE SUNSHINE HOUSE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198014010
ADMINISTRATOR:BEATRIZ RODRIGUEZFACILITY TYPE:
850
ADDRESS:1814 E. 7TH STREETTELEPHONE:
(562) 209-4406
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 23TOTAL ENROLLED CHILDREN: 27CENSUS: 16DATE:
11/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Lizbeth Leon- Lead TeacherTIME COMPLETED:
01:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced case management inspection on 11/02/2022. LPA Navarro arrived at the facility at 11:40 am and met with Lead Teacher Lizbeth Leon who guided LPA on a tour of the facility. There were 16 children and four staff present during the inspection.

The purpose of today's inspection was to go over the water lead test results received on 10/20/2022. Results show that one water source had action level exceedance of lead. The drinking fountain located in the play yard had a lead exceedence of 6.8. LPA Navarro observed the water fountain was covered with a bag and tape to make it inaccessible to children. Per Lead Teacher, the drinking fountain has also been shut off. The facility takes jugs of filtered water outside for the children to drink. Drinking water is provided from the filtered water fountain located in the kitchen. Per Lead Teacher, children bring their own food from home. LPA Navarro also took pictures of the drinking fountain during the inspection. A deficiency was cited to ensure that the water faucet noted will not be used as a drinking source or food preparation source for the children.

The deficiency listed on the following page was 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.

Exit interview conducted and report was reviewed with Lead Teacher Lizbeth Leon. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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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Document Has Been Signed on 11/02/2022 01:05 PM - It Cannot Be Edited


Created By: Raul Navarro On 11/02/2022 at 12:39 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: LITTLE SUNSHINE HOUSE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014010

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/02/2022
Section Cited
CCR
101700.3(b)(1)

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(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 shall be deemed an Action Level Exceedence
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The facility will provide a written statement on their plan to continue to ensure that the water source will not be used as a drinking or food preparation source by the POC date of 12/02/22.
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This requirement was not met as evidence by record review. Lead test results showed that one water source had an action level exceedence of 6.8. This is a potential risk to the health and safety of the children in care. LPA Navarro observed the drinking fountain outside was made inaccessible with a plastic
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 bag and tape and was also shut off.

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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:Karen Chambers
LICENSING EVALUATOR NAME:Raul Navarro
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022


LIC809 (FAS) - (06/04)
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