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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801429
Report Date: 10/25/2022
Date Signed: 10/25/2022 12:42:46 PM

Document Has Been Signed on 10/25/2022 12:42 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SAN DIEGO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801429
ADMINISTRATOR:ZENAIDA PEREZ VELASQUEZFACILITY TYPE:
850
ADDRESS:10300 1/2 SAN DIEGO STREETTELEPHONE:
(661) 845-6833
CITY:LAMONTSTATE: CAZIP CODE:
93241
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: DATE:
10/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Gloria Llanes, Site Supervisor TIME COMPLETED:
01:10 PM
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On 10/25/22, Licensing Program Analysts (LPAs) Villa and Beneroso conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPAs Villa and Beneroso met with the Gloria Llanes, site Supervisor, the purpose of the inspection was disclosed, and entry was granted. Upon arrival LPAs observed 24 children and 10 staff present today.
During the inspection, LPAs Villa and Beneroso informed Site Supervisor Gloria Llanes, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water in the kitchen sink, sample A. The Department was notified of the Action Level Exceedance (ALE), levels are at the Kitchen sink (Sample A) presented levels of 14.0 UG/L. The SWRCB report sample listed facility inspected and collected sample on 09/24/22. Results were provided to facility on 10/13/22 . Lab Project Number: 469807
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2022
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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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: SAN DIEGO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801429
VISIT DATE: 10/25/2022
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LPAs observed the water outlet (Sample A) covered and placed as out of service with a sign. LPAs were informed the kitchen sink faucet was only used for washing dishes and that it has not being used even before getting tested for lead levels due to the facility having a dishwasher in the premises.

LPAs Villa and Beneroso observed the kitchen faucet (Sample A) as being inaccessible to children. The sinks faucets is not utilized for food preparation and or drinking water. Site supervisor has notified all parents and LPAs observed a sign being posted by the facility's main entrance. According to the site supervisor, Sample A, kitchen sink faucet has not been used for a few months. Sample A was placed as out of service on 10/13/22 the day the results were obtained. Per site director, the water outlet will be evaluated by an specialist on 10/28/22. The outlet will be replaced by 11/01/22 and results will be provided once the facility retest the new outlet.

Facility will retest water for lead and notify LPAs of results approximately on 11/25/22. Facility is aware the lead levels shall not exceed 5.00 UG/L

An exit interview was conducted, and a copy of this report was provided along with a Notice of Site Visit and appeal rights to site supervisor Gloria Llanes.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022
LIC809 (FAS) - (06/04)
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