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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401205
Report Date: 01/11/2023
Date Signed: 01/11/2023 04:47:51 PM

Document Has Been Signed on 01/11/2023 04:47 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:COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTERFACILITY NUMBER:
197401205
ADMINISTRATOR:KELLER, JULIEFACILITY TYPE:
830
ADDRESS:26455 N. ROCKWELL CANYON ROADTELEPHONE:
(661) 362-3501
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 5DATE:
01/11/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Julie KellerTIME COMPLETED:
04:47 PM
NARRATIVE
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On 1/11/2023 Licensing Program Analyst (LPA)Isabel Ortega conducted an unannounced case management inspection. LPA Ortega met with Director Julie Keller. The purpose of today's inspection is to conduct a case management inspection, and to notify facility there has been a lead exceedance results reporting an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Palmdale Regional Office received notification of water lead exceedance at the facility resulting from a water lead sampling test on 12/07/2022. Based on the records reviewed outlet (B) Kitchen Prep X-1 Kitchen has an ALE of 5.6 ppb which is lead exceeding of Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water.

Facility Director has shut off the water outlet (B), until fixture has been replaced. Purified drinking water gallons are being utilized to fill children's individual water bottles during day care hours of operation. Food preparation and or rinsing of food is no longer taking place on area (B) since March 2020. Classroom has been closed due to lack of enrollment(see plan of correction for further corrective action 809D).

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTER
FACILITY NUMBER: 197401205
VISIT DATE: 01/11/2023
NARRATIVE
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During inspection Director notified authorized children's representatives of exceedance results and posted notice visible to parents. LPA observed the notification email and notice visibly posted on the entrance of the facility.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a type B deficiency is being cited (see next page, 809 D). Director was provided a copy of the appeal rights. An exit interview was conducted with facility Director.

This report shall be made available to the public upon request. The Notice of Site Visit is provided an required to be posted for 30 days. Appeal rights and report have been provided to facility on this day.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
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Document Has Been Signed on 01/11/2023 04:47 PM - It Cannot Be Edited


Created By: Isabel Ortega On 01/11/2023 at 03:55 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: COLLEGE OF THE CANYONS INFANT DEVELOPMENT CENTER
FACILITY NUMBER: 197401205

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2023
Section Cited

101700.3

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(a) California's Action Level for lead in water at Child care centers is 5 ppb. (b)Testing results will fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest while number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action level Exceedance(ALE). (c) If ALE at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required.
This requirement is not met as evidenced by:
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According to Director, flixture (B) will be replaced and retested. During inspection Director shut off water vale (B). Also, out of service sign was placed on identified area.
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Per water testing results identifying facility with lead level exceeding 5.5 ppb in area B 5.6 ppb which is out of compliance allowable ALE of 5.5 ppb. This poses a potential health and safety risk to children in care.
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During inspection Director emailed and posted parent notification of lead results. Facility has agreed to retest water and submit a copy of the report faxed or email to the Palmdale Regional Office by due date.

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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:Lady King
LICENSING EVALUATOR NAME:Isabel Ortega
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023


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