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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494726
Report Date: 08/23/2022
Date Signed: 08/23/2022 02:02:26 PM

Document Has Been Signed on 08/23/2022 02:02 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:GRANADA PREPARATORY SCHOOLFACILITY NUMBER:
197494726
ADMINISTRATOR:GENDLER, MARYFACILITY TYPE:
850
ADDRESS:10400 ZELZAH AVENUETELEPHONE:
(818) 368-7254
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 0DATE:
08/23/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Mary GendlerTIME COMPLETED:
02:05 PM
NARRATIVE
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On August 23, 2022, Licensing Program Analyst (LPA) Isabel Ortega, 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 met with the Director Mary Gendler, the purpose of the inspection was disclosed and entry was granted. Upon arrival no children were observed and 7 staff present today.

During the inspection, LPA Ortega informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water faucet in room Green (C3) the Department was notified of the Action Level Exceedance (ALE), levels are at 22.6. The SWRCB report listed facility inspected and collected sample on 8/06/2022 testing number 162218163. According to Director the sink identified as having high levels of lead was B classroom 3 located in the Green room.

LPA 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. LPA observed a water dispenser in every classroom. According to Director children are provided with drinking water from the cooler dispenser.
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2022
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GRANADA PREPARATORY SCHOOL
FACILITY NUMBER: 197494726
VISIT DATE: 08/23/2022
NARRATIVE
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Director advised LPA Ortega per the sample results, the sink faucet in room Green was the only sink/faucet that had a high level of lead. LPA Ortega observed that the individual sink/ faucet accessible. Director also advised LPA the sink in room green was being utilized for hand washing, washing dishes, water color activities and Only cold water is dispense. According to Director, last day sink was utilized by children was 7/22/2022 during summer camp- classes will resume August 31, 2022.
The Director stated the entire sink fixture will be removed and the pipe will be replaced prior to children in care (before August 31, 2022).

See LIC 809D for cited deficiencies in accordance with the California Code Regulations Title 22, Division 12. LPA Ortega informed the facility Director although the sink water in room green is not utilized for food preparation nor drinking water, there are times staff may utilize the sink for edible art projects.

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: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/23/2022 02:02 PM - It Cannot Be Edited


Created By: Isabel Ortega On 08/23/2022 at 01:23 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: GRANADA PREPARATORY SCHOOL
FACILITY NUMBER: 197494726

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2022
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, the green room sink fixture will be removed entirely and the pipe will be replaced by 8/30/22. During inspection Director covered water faucet and placed a out of service sign on the sink. Parents will be notified of lead levels with class schedules by 8/26/22 and a copy will be faxed, email, text to the Palmdale Regional Office.
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Per SWRCB results facility was identified as having high lead level of 22.6. Sink water in room Green is accessible and was utilized for edible science projects with children. (no posting/signs of out of service) observed. According to facility Director, as of 8/22/22 facility became aware of results.
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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:Carissa Bell
LICENSING EVALUATOR NAME:Isabel Ortega
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2022


LIC809 (FAS) - (06/04)
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