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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367750073
Report Date: 10/19/2023
Date Signed: 10/19/2023 11:36:31 AM

Document Has Been Signed on 10/19/2023 11:36 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:INLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
367750073
ADMINISTRATOR:LATASHIA KELLYFACILITY TYPE:
850
ADDRESS:1200 NORTH E STREETTELEPHONE:
(909) 880-6706
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92405
CAPACITY: 60TOTAL ENROLLED CHILDREN: 28CENSUS: 25DATE:
10/19/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Facility representative Narcisco Aguilar and Randi Moore TIME COMPLETED:
11:45 AM
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On October 19, 2023, at 09:10 a.m., Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced case management Lead Testing/Exceedance inspection for the purpose of notifying the facility there has been a lead exceedance referred for an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility. LPA met with facility representative Narcisco Aguilar. LPA disclosed the purpose of the inspection and was granted entry into the facility. 25 preschool children were present during the inspection. Per conversation with facility representative Narcisco Aguilar, the facility opened in September 2023. The Center was issued a preschool license on August 28, 2023.

Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on the records reviewed outlet (F) an indoor sink faucet in the toddler classroom A9 had an ALE of 11.00, outlet (G) an indoor drinking fountain located in entranceway had an ALE of 6.400, outlet (I) an indoor bubbler located in the entranceway had an ALE of 5.900, outlet (K) an indoor drinking fountain located in preschool classroom B3 had an ALE of 7.000, outlet (M) an indoor drinking fountain in preschool classroom B3 had an ALE of 15.000, and outlet (N) an indoor faucet in preschool classroom B3 had an ALE of 45.000.

Per conversation with facility representative, outlet (F) and outlet (N) will only be utilized for hand washing purposes. At the time of this inspection, (F) had a locked cover placed over the handle. Per information received from facility representative and LPA observation outlets (K), (M), and (N) are located in building B. Building B is not being utilized at this time and has not been utilized at all since the Center was issued the initial license. LPA observed drinking fountain (K) was covered with a locked cap during this inspection therefore, the outlet was inaccessible to the children in care. Furthermore the door leading to building B was locked and therefore outlets (K), (M), and (N) were inaccessible to the children in care.
Report continued on page two
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: INLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 367750073
VISIT DATE: 10/19/2023
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Report continued from page one
Facility representative stated outlets (G) and (I) are not utilized by the enrolled children. Facility representative stated to the best of their knowledge these outlets have not been utilized by the public or by the staff. At the time of this inspection the water to the outlet (G) and (I) had been turned off, therefore they were inaccessible to the children in care. Facility representative expressed zero meal preparation is completed on site. Art projects or learning activities that include food preparation will utilize bottled water. Per conversation with facility representative, the facility has exclusive utilized bottled water and water coolers since opening in September 2023. Facility representative stated water bottles are delivered to the Center once a month. At the time of this inspection, the Center had approximately ten jugs of water on site at the time of this inspection. LPA completed a review of the facility records. Previous reports indicated that drinking water will readily available via bottled water pending results for water lead testing. Per facility representative, the Center plans to replace and retest the outlets with exceedances. LPA observed that the Center has not posted the lead testing results or a notice on parent board. LPA provided a technical advisory to the Center regarding the posting of the results.

Based on interviews, record review and observations, outlets, (F), (G), (I), (K), (M), (N) have not been utilized since the Center opened September 2023. Therefore citations were not issued.

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 facility representative Randi Moore.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC809 (FAS) - (06/04)
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