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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360906560
Report Date: 05/23/2024
Date Signed: 05/24/2024 12:30:13 PM

Document Has Been Signed on 05/24/2024 12:30 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SAN BERNARDINO CITY SCHOOL DIST. -ALLRED CHILD DEVFACILITY NUMBER:
360906560
ADMINISTRATOR/
DIRECTOR:		KELLY, LATASHIAFACILITY TYPE:
850
ADDRESS:303 S. K STREETTELEPHONE:
(909) 388-6307
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92410
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 73DATE:
05/23/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Program Specialist - Mary MoorerTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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Due to required lead testing requirements, Licensing Program Analyst (LPA), Justin Giese conducted a Case Management inspection based on lead testing results received from the facility. LPA toured the facility, took census and met with Program Specialist, Mary Moorer, to further discuss lead results received and measures taken for remediation of lead exceedances.

Facility has recently re-tested water outlets on 04/24/2024 which yielded the following results on 05/09/2024:
  • Outlet H (43ppb) - which is located in Green Room (indoor drinking fountain)
  • Outlet S (7.2ppb) - which is located on the exterior of Brown Room (outdoor drinking fountain)
  • Outlet H30 (15ppb) - LPA and staff unable to locate this outlet on site

Current Lead Testing documents were unavailable at the facility at time of visit. Facility will submit current lead testing results to LPA at a later day. Due to missing documents, outlet H30 was unidentifiable, however; outlets H and S were verified out of use by LPA.

Facility was previously cited for lead exceedances on 04/04/2023 and has actively applied remediation/re-testing efforts. Facility will adhere to plan of corrections as stated on Type B deficiency cited on 04/04/2023 until water outlets H, S, and H30 have acceptable results.

Facility has implemented the following plan of action until formal remediation can be completed: LPA was informed the preschool children can bring their own personal water bottles to school each day. If a child forgets their water bottle or needs a refill, facility staff will utilize bottled water dispensers. In addition to bottled water, the facility has additional drinking fountains available. LPA was informed outlets H, S and H30 will be serviced/repaired/removed or retested for lead exceedances in the future.

An exit interview was conducted, LPA provided Program Specialist, Mary Moorer with a copy of this report and notice of site visit. Notice of site visit must remain posted for the next 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
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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