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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300605314
Report Date: 06/08/2022
Date Signed: 06/08/2022 05:19:52 PM

Document Has Been Signed on 06/08/2022 05:19 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:HARRY & GRACE STEELE CHILDRENS CTR-ORANGE COAST COFACILITY NUMBER:
300605314
ADMINISTRATOR:MENDOZA, PATFACILITY TYPE:
850
ADDRESS:2701 FAIRVIEW ROADTELEPHONE:
(714) 432-5569
CITY:COSTA MESASTATE: CAZIP CODE:
92628
CAPACITY: 120TOTAL ENROLLED CHILDREN: 75CENSUS: 55DATE:
06/08/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Rochelle Santa Cruz, DirectorTIME COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Stacy Torrence conducted an unannounced Case Management visit. LPA met with Rochelle Santa Cruz, Director, to discuss the Lead Sampling Testing conducted on 05/05/2022. Director was advised on 06/08/2022 that the Lead Sample Report was to be posted. LPA confirmed that Director had posted the Lead Sample Report.

Director stated the drinking faucet/outlet with the high level of Lead is located in the Preschool #1 classroom, which is not in operation at this time. However, during today’s inspection, LPA Torrence advised the director to make the faucet/outlet inoperable via yellow caution tape over the drinking faucet/outlet, and plastic tape over the spout, and the facility’s maintenance support person has turned off the water for this faucet. Source of drinking water is available by the children bring their water bottles from home, labeled with their names and a “Filter Brita” water pitchers are available in each classroom for refills, the pitchers are refilled from outlets that tested negative for Lead.

Based on LPAs record reviews the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D.

Exit interview conducted and report was reviewed with the facility representative Rochelle Santa Cruz. A notice of site visit was given and must remain posted for 30 days.



Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2022
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 06/08/2022 05:19 PM - It Cannot Be Edited


Created By: Stacy Torrence On 06/08/2022 at 02:58 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: HARRY & GRACE STEELE CHILDRENS CTR-ORANGE COAST CO
FACILITY NUMBER: 300605314

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2022
Section Cited
CCR
101238(a)

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101238(a) Buildings and Grounds. The childcare 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 evidenced by:
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Director posted the lead sampling test results. The drinking faucet/outlet was taped off with yellow caution tape, the water was turned off by maintenance support service, and a sign indicating "Not In Service” was posted.
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Based on facility Lead sampling tests it was discovered that drinking faucet/outlet in Preschool #1 classroom had high level of lead. This poses a potential risk to the health 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:Thuy Ho
LICENSING EVALUATOR NAME:Stacy Torrence
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2022


LIC809 (FAS) - (06/04)
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