364806342-8-22-2023-09-CC-RZEN-CUXQ6T-20230822115405

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364806342
Report Date: 08/16/2023
Date Signed: 08/22/2023 11:54:16 AM

Document Has Been Signed on 08/22/2023 11:54 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	SBCSS MARSHALL STATE PRESCHOOL		FACILITY NUMBER:	364806342
ADMINISTRATOR:	ROSIO GONZLAEZ		FACILITY TYPE:	850
ADDRESS:	12045 TELEPHONE AVENUE, RM. 33		TELEPHONE:	(909) 627-9741
CITY:	CHINO	STATE: CA	ZIP CODE:	91710
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 12	CENSUS: 12	DATE:	08/16/2023
TYPE OF VISIT:	Case Management - Lead Testing/Exceedance	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Kristina Badios - Teacher		TIME COMPLETED:	03:15 PM

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On 08/16/2023, Licensing Program Analyst (LPA) Rachel Zeron conducted a case management inspection due to required lead testing requirements based on lead testing results received on the facility. LPA toured Preschool Room , took census and met with Kristina Badios to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and observed the following water outlets identified with lead exceedances: outlet A (tested at 9.3 ppb) was identified; Outlet A is a handwashing outlet that is located in classroom. LPA verified that the required signage for cessation of use was in place at the outlet. Facility is in the process of repairs and retesting. LPA observed notification of lead results posted on the parent board.
Additionally, the following resources were discussed and provided from 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

Since Outlet A is a handwashing outlet and is not used for water consumption, No deficiencies were cited.An exit interview was conducted, LPA provided Kristina Badios, with a copy of this report, and notice of site visit. This report must be made available to the public upon request for three years

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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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