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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808259
Report Date: 12/04/2023
Date Signed: 12/04/2023 12:52:56 PM

Document Has Been Signed on 12/04/2023 12:52 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SOUTH DOS PALOS HEAD STARTFACILITY NUMBER:
243808259
ADMINISTRATOR:TOVAR, ARACELIFACILITY TYPE:
850
ADDRESS:8540 CHRISTIANTELEPHONE:
(209) 827-5641
CITY:DOS PALOSSTATE: CAZIP CODE:
93665
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 20DATE:
12/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Araceli TovarTIME COMPLETED:
01:00 PM
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On December 4, 2023 Licensing Program Analyst (LPA) Martha De Haro conducted an unannounced case management inspection. LPA De Haro met with Center Director Araceli Tovar. The purpose of today’s inspection was to conduct a case management inspection and to follow up with the facility regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. LPA conducted a tour of the facility inside and out and a census was taken.

Fresno North Regional Office had received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from BSK Associates and discussions with Center Director Araceli Tovar, there was a prior exceedance to outlets C, D, and E in the facility, each outlet testing above 5.5 parts per billion (ppb). Per Ms. Tovar, the facility has since remediated the excceedance by removing the interior (outlet C) and exterior (outlets D and E) drinking fountains. Only handwashing sinks remain. LPA De Haro inspected outlets C, D, and E and it was observed that they had been removed. The facility is providing alternative potable water to children, visitors, and staff during hours of operation. Parents/authorized representatives have been notified of the ALE and corrective action already taken, and results of the lead testing results were posted on the parent board.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited during today's inspection. An exit interview was conducted with Center Director Ms. Tovar. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2023
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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