<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334820703
Report Date: 09/28/2023
Date Signed: 09/28/2023 03:07:09 PM

Document Has Been Signed on 09/28/2023 03:07 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RUSD/PATRICIA BEATTY ELEMENTARY SCHOOLFACILITY NUMBER:
334820703
ADMINISTRATOR:JANET GONZALEZFACILITY TYPE:
850
ADDRESS:4261 LATHAM AVENUETELEPHONE:
(951) 276-2070
CITY:RIVERSIDESTATE: CAZIP CODE:
92501
CAPACITY: 24TOTAL ENROLLED CHILDREN: 18CENSUS: 15DATE:
09/28/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:06 PM
MET WITH:Early Childhood Specialist, Luz RomeroTIME COMPLETED:
03:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Due to required lead testing requirements, Licensing Program Analyst (LPA), Susan Brewer conducted a Case Management inspection based on lead testing results received on the facility for water samples dated 07/15/2023. LPA S.Brewer, toured the facility, took census of 15 children supervised by 3 staff and met with Early Childhood Specialist, Luz Romero, to further discuss lead results received and measures taken for remediation of lead exceedances. The facility had initial testing conducted at the school site on 04/15/2023 for the classroom outlets only. After further interview, observation and review of facility records it was determined that the facility kitchen outlets were overlooked in the initial testing conducted for potential lead exposure in water provided to children through food preparation and for consumption.

During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances in Outlet B water faucet, 5.8 ppb, located in the school kitchen. LPA observed and obtained photos of required signage posted at Outlet B for cessation of use.

The Facility implemented the following plan of action until formal remediation can be completed on water outlet and posted required signage for nonuse. The facility has submitted a work order with the school district and is in the process of repairing Outlet B, water faucet in the school site’s kitchen. Once repaired, the facility will schedule a retest on Outlet B. LPA did not observed notification of lead results posted at the facility. Photos also obtained of additional source for access to water in the classroom. As of 08/18/2023 the facility has provided the classrooms with 3-gallon bottled water jugs and paper cups for children to access and additional water for both indoor/outdoor activities is provided through tap water. The facility plans to use alternative methods for food preparation, outside of the Patricia Beatty School site’s kitchen, by temporarily preparing food for consumption at Riverside Unified School District - Nutrition Services, Address: 6050 Industrial Ave., Riverside, CA 92504.

Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/PATRICIA BEATTY ELEMENTARY SCHOOL
FACILITY NUMBER: 334820703
VISIT DATE: 09/28/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Additionally, the following resources were discussed and provided from PIN 21-21.1-CCP dated December 28, 2022, which supercedes PIN 21-21-CCP, dated July 28, 2021:

101700.6 Grant Funding for Qualifying Child care Centers
(a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria:
(1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age.
(2) Those that have 50 percent or more of their registered children who receive subsidized care.
(3) Those that operate only one facility.
(b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website.
(1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website.

An exit interview was conducted, and appeal rights discussed.

LPA S. Brewer provided 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: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/28/2023 03:07 PM - It Cannot Be Edited


Created By: Susan Brewer On 09/28/2023 at 01:26 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: RUSD/PATRICIA BEATTY ELEMENTARY SCHOOL
FACILITY NUMBER: 334820703

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2023
Section Cited
CCR
101700.3(b)(1)

1
2
3
4
5
6
7
A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by:
1
2
3
4
5
6
7
Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlets testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level. The facility agrees to submit,
8
9
10
11
12
13
14
Based on records review of required lead testing reported on 07/15/2023 sample date, the facility had lead values of 5.8 or above on water faucet outlet B, located in the kitchen, which is used for food preparation and consumption. This is a potential health and safety risk to persons in care.
8
9
10
11
12
13
14
 the required LIC9275 External Water Sampler Self-Certification and LIC9276 Child Care Center Sampling Checklist, the updated LIC999 facility sketch, a copy of the report dated 07/15/2023, & posting of exceedance results for public view. The facility will notify CDSS with completion within 30 days.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023


LIC809 (FAS) - (06/04)
Page: 3 of 3