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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001765
Report Date: 03/13/2024
Date Signed: 03/13/2024 10:01:18 AM

Document Has Been Signed on 03/13/2024 10:01 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FIELD EARLY CHILDHOOD PROGRAMFACILITY NUMBER:
198001765
ADMINISTRATOR:PATRICIA GUZMANFACILITY TYPE:
850
ADDRESS:3600 E. SIERRA MADRE BLVD.TELEPHONE:
(626) 351-8812
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
03/13/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Wenli Li - Lead TeacherTIME COMPLETED:
10:15 AM
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Licensing Program Analysts (LPAs) Nolan Tcheng and Jessica Hopkins-Hernandez conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. Upon Arrival at 9am, LPAs met with Lead Teacher Wenli Li, who guided LPA on a tour of the facility. There were children present during the time of the inspection. This facility is a part of the Pasadena Unified School District (PUSD), on Field Elementary School's campus.

Census was taken. LPA observed Rooms H25 and C21, there were 28 children with 4 staff members.

LPA reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

Facility provided facility sketch and required forms LIC 9276, LIC999 and LIC9275 to LPA during today’s inspection.

On 01/10/2024, the Department received notification from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). The SWRCB report indicated the facility was inspected and samples were collected on 01/05/2024. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

· C - 1st Floor C104 Workroom - Faucet - Test Result 14.9ppb

Water outlet C is located in the side room (C104) of Classroom C22. C22 is the Transitional Kindergarten classroom and children enrolled in the licensed classroom (C21 and H25) do not have access to it. Per Lead Teacher, the water sampler keeps testing the incorrect water outlets when they come before school hours. The drinking water policy for the program is that children will bring their own bottles from home. There are disposable water bottles for children if they run out of water or they forget their water bottle at home. REPORT CONTINUES PAGE 1 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FIELD EARLY CHILDHOOD PROGRAM
FACILITY NUMBER: 198001765
VISIT DATE: 03/13/2024
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Facility is being sited for the Action Level Exceedance on a water outlet on the school property.

Grant funding will be available for testing and remediation of lead to the Child Care Centers that qualify. To make a determination of eligibility, refer to PIN 21-04-CCP. For Lead Testing and Prevention Information, including additional resources please visit

https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

Notice of Site Visit was provided and must remain post for 30 consecutive days. A copy of PIN 21-21-CCP and appeal rights were provided to facility today.

An exit interview conducted with Lead Teacher Wenli Li, at 10am, and a copy of this report was provided.

END OF REPORT PAGE 2 of 2

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/13/2024 10:01 AM - It Cannot Be Edited


Created By: Nolan Tcheng On 03/13/2024 at 09:34 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FIELD EARLY CHILDHOOD PROGRAM
FACILITY NUMBER: 198001765

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2024
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1)
Testing results with fractional ppb readings of 5.5 ppb or greater shall be rounded up to the nearest whole number...(1) A result with values of 5.5 or greater shall be deemed and Action Level Exceedance
This requirement is not met as evidence by:
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Per Lead Teacher, they will have the water outlet replaced and retested. Lead teacher will have PUSD submit proof of work order for replacement and confirmation of new water sampling appointment, by POC date.
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Based on interview and record review, licensee did not ensure that Action Level Exceedance in Water Outlet C, was made inaccessible to children in care. This poses a potential risk to the health, saftey, and personal rights of children 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:Claudia Guangorena
LICENSING EVALUATOR NAME:Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2024


LIC809 (FAS) - (06/04)
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