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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334815379
Report Date: 08/30/2023
Date Signed: 08/30/2023 10:10:38 AM

Document Has Been Signed on 08/30/2023 10:10 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:BOEHM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334815379
ADMINISTRATOR:KNUDSEN, CATHYFACILITY TYPE:
830
ADDRESS:74-200 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-6829
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
08/30/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Laura Vital Martino TIME COMPLETED:
10:25 AM
NARRATIVE
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On August 30, 2023, at 9:37 AM, Licensing Program Analyst (LPA) Anastasia Flores, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with Assistant Director, Laura Vital Martino 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 the report provided by the SWRCB the SINK/FAUCET IDENTIFIED (1/04/23 infant room#1 faucet R tested with 6.000 level of lead. The faucet is not used for drinking, meal prepping, only for teachers to wash their hands.) The facility has always used bottled water for children in care.

The faucet is located in the infant room #1. Assistant Director, Laura Vital Martino, told LPA that the faucet was immediately marked unable to be used, the hose under the sink and faucet key on the top was replaced, flushed and retested on 3/10/23 no lead was tested in the water.

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 Laura Vital Martino. A copy of this report, appeal rights and a Notice of Site Visit was issued.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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 08/30/2023 10:10 AM - It Cannot Be Edited


Created By: Anastasia Flores On 08/30/2023 at 09:58 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: BOEHM CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334815379

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2023
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 fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:
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the faucet was immediately marked unable to be used, the hose under the sink and faucet key on the top was replaced, flushed and retested on 3/10/23 no lead was tested in the water. The facility has always utilized bottled water for drinking and baby bottles.
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LPA Flores received water testing results taken on 1/04/23, with an Action Level Exceedance of 6.00 which is higher than the allowable limit. The faucet is located in Infant room #1.
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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:Pauline Beschorner
LICENSING EVALUATOR NAME:Anastasia Flores
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023


LIC809 (FAS) - (06/04)
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