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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410343
Report Date: 09/07/2022
Date Signed: 09/07/2022 01:26:14 PM

Document Has Been Signed on 09/07/2022 01:26 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:GREAT BEGINNINGS FOR LITTLE KIDSFACILITY NUMBER:
197410343
ADMINISTRATOR:ROSALBA GURROLAFACILITY TYPE:
850
ADDRESS:23515 NEWHALL AVENUETELEPHONE:
(661) 254-3097
CITY:NEWHALLSTATE: CAZIP CODE:
91321
CAPACITY: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 27DATE:
09/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:42 AM
MET WITH:Rosien Gurrola, DirectorTIME COMPLETED:
01:50 PM
NARRATIVE
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On September 7, 2022, Licensing Program Analysts (LPAs) Isabel Ortega and Barbara Beneroso conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Ortega and Beneroso met with the Director Rosie Gurrola, the purpose of the inspection was disclosed and entry was granted. Upon arrival LPAs observed 27 children were observed and 5 staff present today.

During the inspection, LPAs Ortega and Beneroso informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water in the outdoor playground drinking fountains (Upper level D and lower level C). The Department was notified of the Action Level Exceedance (ALE), levels are at Drinking fountain D in upper playground presented levels of 20.00 UG/L and drinking fountain C in the lower level playground 5.70 UG/L. The SWRCB report sample listed facility inspected and collected sample on 8/06/2022. Results were provided to facility on 09/2/2022. Lab Job Number: 467147.
Director notified LPA Beneroso within the required timeline.

LPAs advised Director, all water outlets tested with an ALE at the facility should be placed as out of service and children should be provided with an alternative potable water. LPAs observed a water pitchers in every classroom which is obtained from the kitchen filtered faucet (in compliance) with lead levels.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022
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: GREAT BEGINNINGS FOR LITTLE KIDS
FACILITY NUMBER: 197410343
VISIT DATE: 09/07/2022
NARRATIVE
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Director advised LPAs Ortega and Beneroso per the sample results, the drinking fountains fountain C in the lower level playground and Drinking fountain D in upper playground had a high level of lead. LPAs Ortega and Beneroso observed that the individual drinking fountains were accessible. According to Director, last day drinking fountains were utilized by children was May 2020 following Covid-19 protocols. The Director stated the drinking fountains C and D will be assessed for repair and replacement on 09/08/2022, appointment confirmed while conducting the inspection.
Once the repairs are made, director will retest water for lead and notify LPAs of results after 3 weeks. Director is aware the lead levels shall not exceed 5.00 UG/L
Per director, the entire fixture will be replaced and re-tested.

See LIC 809D for cited deficiencies in accordance with the California Code Regulations Title 22, Division 12. LPAs Ortega and Beneroso informed the facility Director although the drinking fountains are not utilized for food preparation nor drinking water, the drinking fountains are still accessible to children.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit was provided to Director on this day.

This report shall be public record for three years.

812 for the case management
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/07/2022 01:26 PM - It Cannot Be Edited


Created By: Barbara Beneroso On 09/07/2022 at 12:22 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: GREAT BEGINNINGS FOR LITTLE KIDS
FACILITY NUMBER: 197410343

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2022
Section Cited
CCR
101238(a)

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Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
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According to Director, drinking fountains' fixtures C & D will be replaced by 09/12/22 During inspection Director covered water faucet and placed a out of service signs. Parents were notified of lead levels via email and sign posted on outside board. Director will send corrective pictures via email to the Palmdale RO and will notify LPA of new testing results.
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Per SWRCB facility was identified as having lead levels at 5.70 drinking fountain (C) and 20.00 in (D).During inspection, director placed out of service postings and notified parents via email and posted a notice visible to parents. Per Director, children haven't been drinking from fountain C & D since 05/20
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Director is aware children cannot have access to fountains C & D until the testing levels are below 5.00.

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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:Mariela Ramon
LICENSING EVALUATOR NAME:Barbara Beneroso
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2022


LIC809 (FAS) - (06/04)
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