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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596644
Report Date: 06/23/2023
Date Signed: 06/23/2023 03:16:02 PM

Document Has Been Signed on 06/23/2023 03:16 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DUARTE USD PRESCHOOL-ANDRES DUARTE SITEFACILITY NUMBER:
191596644
ADMINISTRATOR:NADIA HILLMANFACILITY TYPE:
850
ADDRESS:1433 CRESTFIELD DRIVETELEPHONE:
(626) 599-5000
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY: 114TOTAL ENROLLED CHILDREN: 36CENSUS: 22DATE:
06/23/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Office Manager, Annabelle Lopez &
Director, Sofia Valdez.
TIME COMPLETED:
03:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. LPA met with Office Manager, Annabelle Lopez who guided LPA on a tour of the facility both indoors and outdoors. Director, Sofia Valdez was not available during LPAs arrival but later arrived. 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 water assessment dated August 17, 2022.

Facility could not provided required forms, facility sketch, LIC 9276 and LIC9275 to LPA during this inspection.

REPORT CONTINUES ON NEXT PAGE 1 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2023
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: DUARTE USD PRESCHOOL-ANDRES DUARTE SITE
FACILITY NUMBER: 191596644
VISIT DATE: 06/23/2023
NARRATIVE
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On 11/07/2022, 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 10/28/2022. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows: Room 4, Sink (6.220 UG/L) – Faucet and drinking fountain is currently not in use. Ms. Valdez stated that the drinking fountain has not been used since the pandemic 2020. The drinking fountain and faucet have been covered since the discovery of its lead level exceedance and has not been used for drinking or meal preparation. The proof was verified in person during this inspection and pictures were taken by LPA Garcia. Ms. Valdez stated that the facility has replaced faucet and drinking fountain and is in the process of re-testing.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

See LIC809D for Type B deficiency cited.

Exit interview conducted and report was reviewed with the facility representative, Sofia Valdez.

Appeal rights were provided to facility today. A notice of site visit was also provided and must remain posted for 30 days.

REPORT ENDS HERE PAGE 2 OF 2.

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

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/23/2023 03:16 PM - It Cannot Be Edited


Created By: Mireya Garcia On 06/23/2023 at 02:51 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DUARTE USD PRESCHOOL-ANDRES DUARTE SITE

FACILITY NUMBER: 191596644

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2023
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers.(b)Testing results with...readings of 0.5 ppb or greater..., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidenced by:
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The Facility has made the water fountain and faucet inaccessible by covering them with plastic. Facility Rep stated the facility replaced fixtures and is planning on retested once flushing is completed.
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Based on record review, the facility did not comply with the directive above, as one outlet tested with an Action Level Exceedance (ALE). This poses an immediate Health and Safety risk to children in care.
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Director will continue to provide the status and updates via email to LPA Lilli Babcock - lilli.babcock@dss.ca.gov, regarding the sink faucet located in RM 4 along with fixture replacement service order and required documentation; facility sketch, LIC 9275 & LIC 9276 within 30 days in order to clear this citation.

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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:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2023


LIC809 (FAS) - (06/04)
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