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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818364
Report Date: 01/04/2023
Date Signed: 01/04/2023 03:02:29 PM

Document Has Been Signed on 01/04/2023 03:02 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:SAN BERNARDINO VALLEY COLLEGE CHILD DEV. CTR.FACILITY NUMBER:
364818364
ADMINISTRATOR:WALLACE JOHNSONFACILITY TYPE:
830
ADDRESS:701 S. MT. VERNON AVENUETELEPHONE:
(909) 384-4440
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92410
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
01/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Director Sandy KargeTIME COMPLETED:
03:10 PM
NARRATIVE
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On 01/04/2022, Licensing Program Analysts (LPAs) Perla Ordones and Laura Mejorado arrived at the facility to conduct a case management inspection regarding elevated levels of lead in the sink faucet in the kitchen (detonated as III on the post-testing facility sketch), the drinking fountain in Room 7 (detonated as KK on the post-testing facility sketch), and the drinking fountain in the infant playground (detonated as TTT on the post-testing facility sketch). During this inspection, LPAs toured the facility, inside and out, took census, verified facility associations, reviewed records, and discussed the following with Director, Sandy Karge:

LPAs toured the facility, specifically the sinks and/or faucets located in the the kitchen, the drinking fountain in Room 7, and the drinking fountain in the infant playground. LPAs observed the III sink/faucet(s) to have a single hand washing spout, the KK sink/faucet(s) to have a hand washing and drinking spout, along with both spouts dispersing water, and the TTT sink/faucet(s) to have a drinking spout and an outlet for a hose to connect. It should be noted that while the TTT faucet had two water outlets, the water that flowed to the drinking spout was able to be turned off while not affecting the water going to the hose outlet that was on.

Per Director, the facility supplies a 5-gallon freshwater jug with disposable cups to be used to supply water to children while outside and the facility also maintains other drinking faucets that did not test with Action Level Exceedances. Per Director, the faucet in the kitchen (III), has always been used solely for hand washing, not used for food preparation, and should not have been tested.

See LIC809-D for cited deficiencies.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Sandy Karge.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2023
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 2
Document Has Been Signed on 01/04/2023 03:02 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Perla Ordones On 01/04/2023 at 02:50 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: SAN BERNARDINO VALLEY COLLEGE CHILD DEV. CTR.
FACILITY NUMBER: 364818364

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
01/04/2023
Section Cited
CCR
101238(a)

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Building Grounds. (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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Prior to this inspection, Director made each drinking faucets and/or sinks inaccessible to children by removing the drinking fountain and cap hole from the KK drinking fountain in Classroom 7, posting a “Hand Washing Only, Sink Not for Drinking or Food Preparation” sign on the III sink/faucet in the kitchen as well as planning to replace the sink’s faucet, and turning off and wrapping caution tape around the TTT drinking fountain which the facility plans to remove and cap off permanently.
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Based on records review and observation, sink/faucet III, sink/faucet KK, and sink/faucet TTT, has tested with a lead exceedance higher than 5 ppb. According to Director, sink/faucet III is only used for handwashing, and water jugs and disposable cups are available in each classroom which poses a potential health, safety, and personal rights risk.
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During this inspection, LPAs verified corrections submitted by Director and LPAs requested a copy of service invoice for faucet/sink replacement/repair(s). Director agrees to retrieve documents from maintence and agrees to keep Community Care Licensing up to date on sink/faucet replacement/repair(s).

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023


LIC809 (FAS) - (06/04)
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