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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021207
Report Date: 02/27/2024
Date Signed: 02/27/2024 11:49:15 AM

Document Has Been Signed on 02/27/2024 11:49 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DOWNEY CHILD CARE CENTERFACILITY NUMBER:
198021207
ADMINISTRATOR:TILLMAN, ALLISONFACILITY TYPE:
850
ADDRESS:219 SOUTH AVENUE 18TELEPHONE:
(213) 202-2700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 12DATE:
02/27/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Allison Tillman, DirectorTIME COMPLETED:
11:52 AM
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On 2/27/24 Licensing Program Analysts (LPA) Staicy Perry conducted an unannounced case management inspection. A COVID 19 risk assessment was conducted. LPA arrived at the facility at 10:12 am and met with Director, Allison Tillman. LPA observed 12 children with 3 staff in care.

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 08/02/2023, 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 7.27.2023. Sink water source located in the kitchen reported with 5.6 ppb or greater lead exceedance level were as follows:
  • During this inspection, water outlet “G” , was observed and in use. LPA took a photo of the sink water source.

The purpose of today's inspection is to go over the water lead test results received on 08/02/2023. Results indicate that fixture “G” sink water source in kitchen had action level exceedance of lead. The "G" sink water source located in the kitchen had a lead result of 5.600. During the visit, the Director Allison stated that the sink water source in the kitchen was tested on July 27,2023. Once Director received results Director immediately ceased the use of that sink. Director stated that water source was covered it with a purple bag and a notice was posted indicating "Do Not Touch" and water was capped off. During that time of the initial LEAD testing the facility was not operating and there were no children in care.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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: DOWNEY CHILD CARE CENTER
FACILITY NUMBER: 198021207
VISIT DATE: 02/27/2024
NARRATIVE
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During the process of becoming licensed the department allowed facility to operate. The facility was only operating 9:00am-12:00pm M-Th. Starting August 10,2023 and the facility was only providing snack to the children. The children were provided bottled water and made accessible to the children in each classroom in a Igloo container. Director stated that a retstest has been done on September 22,2023 and results for water source "G" resulted in 1.00. Which is in compliance.

LPA, Staicy Perry received all documentation, including facility sketch, LIC9276, LIC9275, photos and test results from Allison Tillman during todays visit. Currently the results that the lab uploaded do not reflect the same data that the sampler provided the center. The ELAP lab that the sampler used will need to fill out the request for deletion form so that the State Waterboard can fix. LPA Perry informed Director Allison to reach out to the sampler that was hired so that the facility reflects compliance of the lead testing requirement. Allison stated that she will proceed with providing the information to upper management who handles that portion for the facility.

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 Director Allison Tillman.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/27/2024 11:49 AM - It Cannot Be Edited


Created By: Staicy Perry On 02/27/2024 at 11:18 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: DOWNEY CHILD CARE CENTER
FACILITY NUMBER: 198021207

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
02/27/2024
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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LPA observed that thesink in kitchen water source has been replaced and retest was completed on September 22, 2023.LPA observed and was provded with new test results indicating the kitchen sink water source is resulting in 1.00 and is in compliance.
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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: 02/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2024


LIC809 (FAS) - (06/04)
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