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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808609
Report Date: 08/25/2022
Date Signed: 08/25/2022 11:30:42 AM

Document Has Been Signed on 08/25/2022 11:30 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CCCDS - FELIX TORRES CHILD DEVELOPMENT CENTERFACILITY NUMBER:
243808609
ADMINISTRATOR:ESTELLA NAVARROFACILITY TYPE:
830
ADDRESS:859 N. PLAINSBURG ROADTELEPHONE:
(209) 581-9000
CITY:PLANADASTATE: CAZIP CODE:
95365
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
08/25/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:04 AM
MET WITH:Claudia Villatoro TIME COMPLETED:
11:30 AM
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On 08/25/22 Licensing Program Analyst (LPA) Araceli Gibson conducted an unannounced case management inspection. LPA Gibson met with Claudia Villatoro, Nutrition Services Coordinator and Estella Navarro, Site Supervisor. Purpose of today's inspection is to conduct a case management inspection, and to notify them there has been a lead exceedance referred to as a Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based records reviewed from Enthalpy Analytical with Claudia Villatoro, Nutrition Services Coordinator and Estella Navarro, Site Supervisor LPA Gibson inspected outlets (J) 6.9 ppb and (K) 7.9 ppb (ALE) in the infant room with lead. This outlet is in the infant classroom 4. Site Supervisor has disconnected water outlets. Claudia Villatorro has decided to have outlets repaired and retested. 101238(a) Buildings and Grounds citation was issued with a plan of correction in place to ensure the safety and well being of children, employees and visitors. Claudia Villatoro agrees to submit current and future lead findings by a 101700.5 Certified External Water Sampler to the Fresno Regional Office within two weeks of testing dates for the Department to review. (See Plan of correction for further corrective action 809D). Site Supervisor has notified authorized representatives of this corrective action by flyer notice.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, A type B deficiency is being cited: (see next page, 809 D). Site supervisor was provided a copy of appeal rights. An exit interview was conducted with the Director.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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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Document Has Been Signed on 08/25/2022 11:30 AM - It Cannot Be Edited


Created By: Araceli Gibson On 08/25/2022 at 11:12 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CCCDS - FELIX TORRES CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 243808609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2022
Section Cited
CCR
101238(a)

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. 101238(a) Buildings and Grounds (a) 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 was not met as evidence by:

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Site supervisor agrees to notify authorized representatives of the ALE at the facility. Claudia Villatoro agrees to repair and submit current and future lead findings by a 101700.5 Certified External Water Sampler to the LPA. Claudia agrees to submit evidence of outlets J and K to test under the action level of 5.5 ppb.
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Based on record review provided by Enthalpy Analytical Services outlet (J) 6.9 ppb and (K) 7.9 ppb (ALE) in the infant room were impancted with an (ALE). These results are over allowable Action Level of 5.5 ppb.
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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Araceli Gibson
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2022


LIC809 (FAS) - (06/04)
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