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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416698
Report Date: 01/16/2025
Date Signed: 01/16/2025 11:44:06 AM

Document Has Been Signed on 01/16/2025 11:44 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:186TH STREET ELEMENTARY SCHOOL CSPPFACILITY NUMBER:
197416698
ADMINISTRATOR/
DIRECTOR:		ANTONIO AGUILARFACILITY TYPE:
850
ADDRESS:1581 WEST 186TH STREET ROOM 9TELEPHONE:
(310) 324-1153
CITY:GARDENASTATE: CAZIP CODE:
90248
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: 12DATE:
01/16/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Teary August, Assistant PrincipalTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
NARRATIVE
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 01/16/2025 for the purpose of addressing an Action Lead Exceedance (ALE) at the facility. LPA arrived to the facility at 9:00AM and met with Felicia Shark, Teacher, who guided LPA on a tour of the facility. Upon arriving to Room 36, LPA observed 12 children and 1 additional staff present. LPA was later met by Teary August, Assistant Principal.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1,2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified of the results of the Lead Water Testing conducted at the facility on 10/21/2022. The sample testing was for Outlet "A" with results above 5.5 ppb which is considered an exceedance. Outlet "A" was reported to have an exceedance of 30.4ppb. Outlet "A" was observed outdoors located outside of Room 35. LPA was not able to verify if a point of use filter was installed as indicated on the Facility Sketch submitted to the Department on 02/27/2023.

LPA did not observe an outlet for children to drink water indoors. Per Teacher, there is no outlet for children to drink water indoors. Teacher disclosed that children bring a reusable water bottle to care daily and a supply of bottled water donated by parents is available should children need water refills.

Principal was notified that lead testing results should have been posted, in a location consistent with the requirements of subsection (b) of section 1596.8595 of the Health & Safety Code, for parents and families to view at the facility within 24-hours of receiving the results from the Department. Facility should have notified all parents or guardians of children in care of lead exceedance results and what has been done to date and remediation plan for water Outlet “A”.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: 186TH STREET ELEMENTARY SCHOOL CSPP
FACILITY NUMBER: 197416698
VISIT DATE: 01/16/2025
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Based on interviews and results reported to the Department, it has been determined that 186TH STREET ELEMENTARY SCHOOL CSPP violated Child Care Licensing Regulation Division 12, Chapter 1, Subchapter 5, 101700.3 (b)(1) California Lead Action Level at Child Care Centers.

A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This is a type B violation which poses a potential Health, Safety or Personal Rights risk to persons in care. Refer to LIC 809-D for deficiency page.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Teary August, Assistant Principal. .

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/16/2025 11:44 AM - It Cannot Be Edited


Created By: Lilia Hernandez On 01/16/2025 at 10:07 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: 186TH STREET ELEMENTARY SCHOOL CSPP
FACILITY NUMBER: 197416698

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2025
Section Cited
CCR
100700.3(b)(1)

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(b) Testing results with fractional ppb readings of 0.5 ppb or greater...(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement was not met as evidence by:
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Per Principal, the following will be submitted to LPA via email by POC due date: a ptoto of Outlet "A" to verify that a point of use filter was installed and date of installation and a written statement on how the facility will provided drinking water to children while indoors if water is not donated by parents.
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Based on results submitted to the Department, the facility did not comply with the section cited above in Outlet "A" was reported to have an exceedance of 30.4 ppb, exceeding allowable limit for lead, which poses a potential Health, Safety or Personal Rights risk to persons in care.
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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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2025


LIC809 (FAS) - (06/04)
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