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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014619
Report Date: 09/08/2023
Date Signed: 09/08/2023 02:29:19 PM

Document Has Been Signed on 09/08/2023 02:29 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PIO PICO CENTERFACILITY NUMBER:
198014619
ADMINISTRATOR:CHRISTINA V. CONTRERASFACILITY TYPE:
850
ADDRESS:4211 S. COLUMBIATELEPHONE:
(562) 205-1251
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY: 60TOTAL ENROLLED CHILDREN: 32CENSUS: 17DATE:
09/08/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Alma Larios, Lead Teacher TIME COMPLETED:
02:45 PM
NARRATIVE
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On 9/8//2023, at 1:10 PM, Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced case management inspection for an Action Level Exceedance (ALE) detected in a water fixture in the facility. An attempted visit was conducted on 7/21/2023. LPA met with facility representative, Alma Larios, during the visit. A COVID 19 risk assessment was conducted prior to entering the facility.

Analyst 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, LIC 999 and LIC 9275 to LPA on 1/4/2023.

On 3/31/2023, 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 3/15/2023. Faucets and drinking fountain reported with 5.5 ppb or greater lead exceedance levels were as follows:

- Kitchen sink faucet in classroom # 2 (8.1 UG/L) –
- Classroom sink in classroom # 2 (5.2 UG/L) Was tested by facility as exceedence -----pg. 1of 2 ------
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2023
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PIO PICO CENTER
FACILITY NUMBER: 198014619
VISIT DATE: 09/08/2023
NARRATIVE
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Per Lead teacher the faucets have been replaced and retested on 8/30/2023. The department received results on 9/5/2023.

- Kitchen sink faucet in classroom # 2 (19.5 UG/L) –
- Classroom sink in classroom # 2 (11.6 UG/L)

LPA took pictures of both sink faucets- they are both covered by plastic bags and are inaccessible to children in care. Per Lead teacher faucets will continue to be inaccessible for children until they pass the testing.

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

See LIC809D for Type B deficiency cited.

LPA did cleared citation on this date and provided proof of correction letter

Appeal rights were provided to facility today. A notice of site visit was also provided and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Alma Larios.

------------------------------------------------------- pg. 2 of 2 --------------------------------------------------------------------------
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/08/2023 02:29 PM - It Cannot Be Edited


Created By: Roxana Lopez On 09/08/2023 at 02:16 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PIO PICO CENTER
FACILITY NUMBER: 198014619

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2023
Section Cited
CCR
101700.3(b)(1)

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101700.3(b)(1)California Lead Action Level at Child Care Centers. (b) Testing results with...readings of 0.5 ppb or greater.., before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not me at evidenced by
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Per Lead Teacher faucet have been replaced and retested but has still had lead exceedance and facilities is trying to see what can be done to make it in compliance. SInk faucest were observed to be covered and not used.
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Based on ispection, the licensee did not comply with the directive above, as that 2 sink faucets (L, C) tested with an Action Level Exceedance (ALE) of 8.2 and 11.6 ppb. This poses a potential health and safety risk to 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:Brandi VanOosten
LICENSING EVALUATOR NAME:Roxana Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2023


LIC809 (FAS) - (06/04)
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