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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021103
Report Date: 03/08/2024
Date Signed: 03/08/2024 12:37:04 PM

Document Has Been Signed on 03/08/2024 12:37 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:CLASSIC ED LEARNING CENTERFACILITY NUMBER:
198021103
ADMINISTRATOR:LEIGH HARTFACILITY TYPE:
840
ADDRESS:301 ISABEL STREETTELEPHONE:
(747) 688-2654
CITY:GLENDALESTATE: CAZIP CODE:
91206
CAPACITY: 72TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/08/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Leigh Hart, Church PastorTIME COMPLETED:
01:00 PM
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On 03/08/24, at 11:30 AM, Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with facility representative, Leigh Hart, Church Pastor, during the inspection. During this inspection no children were present in the facility. Per Leigh Hart currently no children are enrolled in the facility. A COVID 19 risk assessment was conducted prior to entering the facility.

Analyst 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.

LPA asked facility representative, Leigh Hart to submit required forms LIC 9276, LIC999 and LIC9275 to LPA by 04/08/24.

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 10/06/23. Sample Site D reported with 5.500 ppb or greater lead exceedance levels was as follows:

Sample Site D – located in the kitchen.

Faucet currently not in use and no children are currently enrolled in the facility. Per facility representative, Leigh Hart they will retest the sample site D.

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.


REPORT CONTINUES ON NEXT PAGE 1 OF 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2024
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CLASSIC ED LEARNING CENTER
FACILITY NUMBER: 198021103
VISIT DATE: 03/08/2024
NARRATIVE
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A copy of PIN 21-21-CCP and appeal rights were provided to the facility today.

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.



Exit interview conducted and report was reviewed with the facility representative, Leigh Hart at 1:00 PM. A notice of site visit was given and must remain posted for 30 days.


Report End 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/08/2024 12:37 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 03/08/2024 at 11:45 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: CLASSIC ED LEARNING CENTER
FACILITY NUMBER: 198021103

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2024
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers. (b) Testing results with fractional readings of parts per billion (ppb) 0.5 ppb or greater shall etc...
This poses a potential health, safety and personal right risk to the children in care.
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Per facility representative they will retest faucet D, located in the kitchen by plan of correction due date.
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Based on Water testing results that was completed on 10/06/23, Sample Site D, kitchen faucet identified with Action Level Exceedance of 5.5 ppb as identified in WD section 101700.3 are not deemed safe for drink. This poses a potential health and safety risk to 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:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024


LIC809 (FAS) - (06/04)
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