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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371407
Report Date: 02/21/2025
Date Signed: 02/21/2025 10:04:54 AM

Document Has Been Signed on 02/21/2025 10:04 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GUIDE ACADEMYFACILITY NUMBER:
304371407
ADMINISTRATOR/
DIRECTOR:		SHSHRESTANI, LAILAFACILITY TYPE:
850
ADDRESS:121 SOUTH CITRON STREETTELEPHONE:
(951) 206-5262
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 20DATE:
02/21/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Director, Laila ShahrestaniTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
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On 02/21/2025, Licensing Program Analyst (LPA), Dianna Valdez-Santana conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 08/10/2024. LPA met with Director, Laila Shahrestani, who was explained the reason for today’s visit. LPA observed 2 staff and 20 preschool-age children in care.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 08/10/2024 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE).

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.


Facility staff was advised on 02/14/2024 that the Lead Sample Report was to be posted. LPA observed the facility had posted the Lead Sample Report.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: GUIDE ACADEMY
FACILITY NUMBER: 304371407
VISIT DATE: 02/21/2025
NARRATIVE
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On 02/14/24 LPA spoke with Director who stated that the one outlet that had ALE over 5.0 had been made inaccessible to children via, signs posted stating “DO NOT USE”. Outlet B is a sink located in Classroom “B” and it had level of 6.4. The outlet has been blocked off with a sign stating it is inoperable and it is not in use. The classroom has a Brita water pitcher and obtain water from a “PASS” filtered sink as an alternate water source and use water from the other sinks that “PASSED” with no high exceedance of lead.


Based on LPA’s Director interview, review of facility sketch and walk-through, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101700.3 California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.


Exit interview conducted with Director Laila Shahrestani. The report was reviewed and discussed. Appeal Rights were discussed. Facility staff was provided copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days.

The staff was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/21/2025 10:04 AM - It Cannot Be Edited


Created By: Dianna ValdezSantana On 02/21/2025 at 09:36 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUIDE ACADEMY
FACILITY NUMBER: 304371407

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2025
Section Cited

101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers (b) Testing results...comparing to the Action
Level. (1) A result with values of 5.5 part per billion or greater shall be deemed an Action Level Exceedance. This requirement was not
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Director stated the Outlet B is has been closed off from use and the Outlet will be flushed and retested. Director will email LPA Valdez Santana at Dianna.valdezsantana@dss.ca.gov the updated test results for outlet B by the POC due date.
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met as evidenced by: Lab report analysis water from Outlet B (340 parts per billion) taken on 8/10/2024 indicated levels of lead in exceedance. This poses a potential risk to the health, safety and personal rights of 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:Martha Malane
LICENSING EVALUATOR NAME:Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2025


LIC809 (FAS) - (06/04)
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