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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750128
Report Date: 12/15/2022
Date Signed: 12/15/2022 03:04:45 PM

Document Has Been Signed on 12/15/2022 03:04 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:SANDCASTLES CHILD CARE CENTERFACILITY NUMBER:
197750128
ADMINISTRATOR:SANDRA DENKOVSKIFACILITY TYPE:
850
ADDRESS:27303 LUTHER DRIVETELEPHONE:
(661) 251-3182
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 10DATE:
12/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Director of Operation, Christian Agosti TIME COMPLETED:
03:04 PM
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On December 15, 2022, Licensing Program Analyst (LPA) Isabel Ortega, conducted a Case Management inspection in response to lead exceedance at the facility. Water lead testing results were received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW) indicating exceedance in (B) water fountain faucet. LPA Ortega disclosed the purpose of the inspection and was granted entry.

LPA toured the facility and observed the water fountain faucet (B) according to facility sketch and observed water fountain placed out of service. Upon arrival 10 children and 1 staff was observed providing care and supervision.

During the inspection, LPA Ortega disclosed the lead results provided by SWRCB, indicating facility had elevated levels of lead in (B) area. The water fountain faucet is not utilized for drinking nor food preparation. On 09/24/2022 the SWRCB collected water samples for lead testing. Facility's lead testing result's reported (B) with 7.4 with Action Level Exceedance (ALE).
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
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: SANDCASTLES CHILD CARE CENTER
FACILITY NUMBER: 197750128
VISIT DATE: 12/15/2022
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According to Staff interview children are provided with individual drinking water bottles and filtered water for indoor and outdoor play. According to facility water fountain (B) is not utilized for food preparation. LPA observed individual drinking water bottles in the children's cubbies and at the facility.

The water fountain faucet labelled (B) according to the facility sketch was identified containing lead of 7.4. According to staff this water fountain (B) located in the preschool classroom has not been utilized for drinking nor food preparation.

Facility has followed proper lead regulation directives and water fountain (B) is not used and not utilized for food preparation nor drinking. Therefore, no deficiencies will be cited.

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

This report shall be public record for three years and Notice of Site Visit is to be posted for 30 days.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
LIC809 (FAS) - (06/04)
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