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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330900315
Report Date: 10/10/2023
Date Signed: 10/10/2023 01:42:58 PM

Document Has Been Signed on 10/10/2023 01:42 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:PRESCHOOL ON THE HILL (FIRST BAPTIST DAY NURSERY)FACILITY NUMBER:
330900315
ADMINISTRATOR:HEATHER YOUNGFACILITY TYPE:
850
ADDRESS:5500 ALESSANDRO BLVDTELEPHONE:
(951) 683-4803
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 21DATE:
10/10/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Crysany Short Assistant DirectorTIME COMPLETED:
01:45 PM
NARRATIVE
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Due to required lead testing requirements, Licensing Program Analyst (LPA), Giselle Carbullido conducted a Case Management inspection based on lead testing results received on the facility. LPA Carbullido toured the facility, took census and met with Assistant Director, Crysany Short to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet F (5.6 ppb) located room 302; Outlet I (8.7 ppb) located room 304; Outlet L (95 ppb) located room 305; and Outlet N ( 64 ppb) located room 306. LPA observed required signage posted at outlets for cessation of use.

Facility implemented the following plan of action until formal remediation can be completed on water outlets: Covered water outlets and posted signage for non use. Facility is currently in process for remediation and considering permanent removal of outlets identified with exceedance. LPA observed notification of lead results posted at the facility front reception.

Facility has access to additional water resources: other fountains and faucets, filtered and bottled water.

Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D.


Additionally, the following resources were discussed and provided: PIN 21-21.1-CCP dated December 28, 2022.

An exit interview was conducted, and appeal rights discussed. LPA Carbullido provided Crysany Short, Assistant Director with a copy of this report, appeal rights and notice of site visit. This report must be made available to the public upon request for three years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2023
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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Document Has Been Signed on 10/10/2023 01:42 PM - It Cannot Be Edited


Created By: Giselle Carbullido On 10/10/2023 at 01:27 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PRESCHOOL ON THE HILL (FIRST BAPTIST DAY NURSERY)
FACILITY NUMBER: 330900315

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
101700.3(b)(2):

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California Lead Action Level at Child Care Centers 101700.3 (b)(2): Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements ... for the health and safety of children in care. This requirement is not met as evidence by:
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Facility has submitted plans for correction to remove outlets with exceedances. Facility will submit proof of completion to the department by POC due date 11/30/23 or earlier.
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Based on records review of required lead testing, the facility had lead values of 5.0 or above on water outlets :( F-5.6 ppb); (I-8.7 ppb); (L -95 ppb); and (N- 64 ppb). This is a potential health and safety 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:Gilbert Sena
LICENSING EVALUATOR NAME:Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2023


LIC809 (FAS) - (06/04)
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