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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191591710
Report Date: 05/15/2023
Date Signed: 05/15/2023 10:16:38 AM

Document Has Been Signed on 05/15/2023 10:16 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PACIFIC FRIENDS SCHOOLFACILITY NUMBER:
191591710
ADMINISTRATOR:LAURENE HERRERAFACILITY TYPE:
850
ADDRESS:6210 TEMPLE CITY BLVDTELEPHONE:
(626) 287-6880
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY: 58TOTAL ENROLLED CHILDREN: 35CENSUS: 25DATE:
05/15/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Laurene HerreraTIME COMPLETED:
10:17 AM
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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced case management inspection. Upon arrival LPA met with Director, Laurene Herrera. Census was taken.

During the inspection LPA 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 facility representative 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. Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA.

Facility provided a copy of the facility sketch, LIC 9276, and LIC 9275 to LPA Garcia prior to the inspection.

On 10/21/2022, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 10/03/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

Report continues on next page 1 of 2.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PACIFIC FRIENDS SCHOOL
FACILITY NUMBER: 191591710
VISIT DATE: 05/15/2023
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  • E- "Outside drinking fountain" A drinking fountain located in the outdoor area of the facility tested with a result of (10.0 UG/L) – This water fountain was not used since the beginning of 2020 due to the pandemic. After the facility was notified of the result, the fountain was completely turned off and capped off. The fountain is located away from the preschool classrooms and designated outdoor play areas. During the inspection LPA Garcia was able to verify that the drinking fountain was not operational. The proof was verified in person during this inspection and pictures were taken.

Since the fountain is located in the green area (area used for family events) and children do not access the area for play during school hours and fountain was turned off and capped off after the test results was known to the facility, no deficiencies were cited during this inspection.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with facility representative Laurene Herrera. Appeal rights discussed and explained.

Report ends here page 2 of 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023
LIC809 (FAS) - (06/04)
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