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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191290221
Report Date: 10/08/2024
Date Signed: 10/08/2024 09:46:05 AM

Document Has Been Signed on 10/08/2024 09:46 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LA CANADA PRESBYTERIAN CHURCH INFANT CARE CENTERFACILITY NUMBER:
191290221
ADMINISTRATOR/
DIRECTOR:		DIANA URTEAGAFACILITY TYPE:
830
ADDRESS:626 FOOTHILL BOULEVARDTELEPHONE:
(818) 790-6708
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 8DATE:
10/08/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Diana Urteaga TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 09/19/24, at 09:30 AM, Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced case management inspection for verification of Lead Testing .
LPA met with Director , Diana Urteaga and explained the purpose of the visit. Also present in the facility were 8 children with 2 staff members .
Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with the Director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.
LPA observed no lead testing was conducted . Per Facility Representative children bring their own water bottles and facility uses filtered water and testing was not conducted .

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D(Deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

Exit interview conducted and a copy of this report and appeal rights was provided to the Director, Diana Urteaga on 10/08/24.

A notice of site visit was also provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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Document Has Been Signed on 10/08/2024 09:46 AM - It Cannot Be Edited


Created By: Shushanik Safaryan On 10/08/2024 at 09:32 AM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LA CANADA PRESBYTERIAN CHURCH INFANT CARE CENTER
FACILITY NUMBER: 191290221

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2024
Section Cited
HSC
1597.16(a)(1)

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1597.16(a) (1) A licensed child day care center,... that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, ... This requirement not met evidenced by:
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Director stated she will follow directives and will schedule for lead teasting . Director stated outlets will not be in use until testing is done.
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Director stated no lead testing was conducted for the facility .
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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:Brandi VanOosten
LICENSING EVALUATOR NAME:Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
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