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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021170
Report Date: 02/22/2024
Date Signed: 02/22/2024 02:48:56 PM

Document Has Been Signed on 02/22/2024 02:48 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PLAY ATELIER NURSERY SCHOOL, THEFACILITY NUMBER:
198021170
ADMINISTRATOR:SANCHEZ, AREMIFACILITY TYPE:
850
ADDRESS:5743 HUNTINGTON DRIVE N.TELEPHONE:
(323) 505-7073
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 26DATE:
02/22/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:SANCHEZ, AREMI, DirectorTIME COMPLETED:
03:05 PM
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On 2/22/2023 at 2:00 PM Licensing Program Analyst (LPAs) Staicy Perry and Nolan Tcheng conducted an unannounced Case Management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. A COVID 19 risk assessment was conducted prior to entering the facility. LPAs met with facility Director Aremi Sanchez during the visit. Also present in the facility 26 children, 7 staff members. Facility was within ratio & capacity.

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 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.

On 9.13.2023, 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 7.8.2023. Drinking fountain reported with 5.6 ppb or greater lead exceedance level were as follows:
  • During this inspection, water outlet “C” , was observed that the drinking faucet has been removed permanently and is not planning to utilize that as a drinking fountain. Photos have been provided via email to LPA from previous visit as well as new photos on todays inspection.

Director stated that the facility has not been using the drinking faucet to conduct the lead testing. Facility was licensed on 03/27/2023. Per Director, LPA Green, who conducted the pre licensing with facility, informed them to cover all drinking outlets until they have the outlets tested for lead exceedance. Outlets were made inaccessible to children in care since the opening of the facility. Following the lead testing, children use the kitchen water dispenser which passed the lead test. Kitchen faucet has a filter. Per Director children bring their own bottles labeled with their names and get filled up as needed.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THE
FACILITY NUMBER: 198021170
VISIT DATE: 02/22/2024
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LPAs Staicy and Nolan received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from Aremi Sanchez, Director during previous visit on 11/01/2023.

A deficiency was cited on attached 809D. The deficiency listed on the following page were observed by the LPAs 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.

A notice of site visit was given to licensee and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Aremi Sanchez.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/22/2024 02:48 PM - It Cannot Be Edited


Created By: Staicy Perry On 02/22/2024 at 02:32 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PLAY ATELIER NURSERY SCHOOL, THE
FACILITY NUMBER: 198021170

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2024
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...readings of 0.5 ppb or greater... (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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LPAs observed that the water outlet “C”, outdoor drinking faucet was observed to be removed permanently and is not planning to utilize that as a drinking fountain and or replacing it.
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This requirement is not met as evidenced by: Based on testing results provided by the facility with an Action Level Exceedance (ALE) which poses/posed a potential health, safety or personal rights risk to persons 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:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
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