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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018189
Report Date: 11/17/2023
Date Signed: 11/17/2023 02:30:56 PM

Document Has Been Signed on 11/17/2023 02:30 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:LBUSD- WEBSTER CDCFACILITY NUMBER:
198018189
ADMINISTRATOR:RANDY SANCHEZFACILITY TYPE:
850
ADDRESS:1740 WEST 34TH WAYTELEPHONE:
(562) 989-1378
CITY:LONG BEACHSTATE: CAZIP CODE:
90810
CAPACITY: 48TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
11/17/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Facility RepresentativeTIME COMPLETED:
01:45 PM
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On 11/17/2023 at 12:40 PM, Licensing Program Analyst (LPA) Raul Navarro conducted an Unannounced Case Management Inspection and met with Randy Sanchez, Coordinating teacher, and Ms. Garcia, Teacher. LPA disclosed the purpose of the inspection and was granted entry into the facility and was provided guided tour. Facility is made up of two classrooms in CDC-1 and CDC-2 on Webster Elementary School campus. The facility is currently only using the CDC-2 (28102) classroom. There were nine children and three staff present during today's visit.

The purpose of today's inspection was to discuss the water lead test results. Results received by RO indicated a water sources, labeled G and H, to have action level exceedance (ALE) of lead with results of 11.3 ppb and 7.4ppb. Program Coordinator was on the phone with LPA during inspection and they stated that there were no ALE results for this classroom.

LPA observed various water sources, none of which were labeled with the letters G or H at time of inspection. Program Coordinator provided LPA with a copy of the lead test report conducted on 7/7/2023. Report shows that there is no faucet labeled G or H. Results show that there was a lead exceedence of 7.46 on the faucet labeled B. Report provided shows faucet B was retested on 8/18/23 and there was no exceedence of lead. Per Coordinating Teacher, no meals are prepared on site and all meals are delivered by LBUSD Central Kitchen and water bottles are provided to children for drinking water source.

No deficiency was cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with Facility Representative.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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