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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810225
Report Date: 11/21/2023
Date Signed: 11/21/2023 10:07:46 AM

Document Has Been Signed on 11/21/2023 10:07 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:NUVIEW UNION SCHOOL DISTRICTFACILITY NUMBER:
334810225
ADMINISTRATOR:JESENIA GARCIA MACIASFACILITY TYPE:
830
ADDRESS:29680 LAKEVIEW AVENUETELEPHONE:
(951) 928-3570
CITY:NUEVOSTATE: CAZIP CODE:
92567
CAPACITY: 56TOTAL ENROLLED CHILDREN: 30CENSUS: 11DATE:
11/21/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Shandra GonzalezTIME COMPLETED:
10:15 AM
NARRATIVE
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On 11/21/23 at 08:55AM, Licensing Program Analysts (LPAs) Sumayya Habeebulla and Amber Shaw, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPAs met with Assistant Director Shandra Gonzalez who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers constructed before January 1, 2010, to test their drinking and cooking water for lead contamination between January 1, 2020, and January 1, 2023, and then every 5 years after the date of the first lead testing. LPA observed on the report provided by the SWRCB the FAUCET located in Room P6 identified as having high levels of lead.

The faucet is located in an infant classroom – P6 and the classroom is not currently being used. As per Ms. Shandra Gonzalez the faucet located in the classroom was tested with above the permitted level. The facility retested the faucet, and the results still came out above the permitted level. Facility will be replacing the faucet and the water lines as a plan of correction. Once the faucet and water lines have been replaced, facility will conduct retesting for the faucet. Ms. Gonzalez will submit the scheduled dates for testing to the department as soon as it is available.

See LIC 809D for cited deficiency in accordance with the California Code of Regulations Title 22, Division 12 written directives.

An exit interview was conducted with the Assistant Director Shandra Gonzalez. A copy of this report, appeal rights and a Notice of Site Visit was issued.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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 11/21/2023 10:07 AM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 11/21/2023 at 09:55 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: NUVIEW UNION SCHOOL DISTRICT
FACILITY NUMBER: 334810225

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/21/2023
Section Cited

101700.3(b)(1)

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California Lead Action Level at Child Care Centers(b) Testing results...ppb 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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Facility will be replacing the faucet and the water lines, and a retesting will be conducted. Facility representative agrees to submit the schedule for the retesting and the results once obtained.
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This requirement was not met as evidenced by:
LPAs received the facility's water testing results for Faucet located in Room P6 with an Action Level Exceedance higher than the allowable limit.
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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:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2023


LIC809 (FAS) - (06/04)
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