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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370227
Report Date: 03/27/2024
Date Signed: 03/27/2024 10:33:08 AM

Document Has Been Signed on 03/27/2024 10:33 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:STEPPING STONES LEARNING CENTER AND INFANT CAREFACILITY NUMBER:
304370227
ADMINISTRATOR:SMITH, CHARITYFACILITY TYPE:
830
ADDRESS:4460 LINCOLN AVE. #5TELEPHONE:
(714) 826-2311
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
03/27/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Charity Smith, Director TIME COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced case management visit for the purpose to discuss the lead sampling testing conducted on 12/20/23. LPA met with Director, Charity Smith and toured the facility. Census was taken and the overall census was 9 infant children and 3 staff. LPA provided a copy of the Lead Sampling testing conducted on 12/30/23. Director was informed to post the Lead Sample Report visible to parents/authorized representatives.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Director stated the outlets with high levels of Lead is not used for drinking or cooking. Director stated outlets have any been flushed and re-tested. Director stated outlet C is a faucet located in the staff kitchen. Outlet C tested on 12/20/23 with a result of 8.100 (parts per billion) Director stated outlet C was not in use when they were informed the lead testing results had an exceedance of lead. Director stated outlet C had a Do Not Use sign was posted along with tape crossing over the sink. Outlet C was flushed for approximately 3 weeks, beginning on 2/29/24 to 3/22/24 while staff flushed outlet for 30 seconds 4 times a day. Source of drinking water was used from outlets that did not have a lead exceedance, as well as parents/authorized representatives provided individual water bottles for child, with water provided for the day. Staff re-fill individual water bottles and cups with pitchers of water, filled with outlets that did not have a lead exceedance. Outlet C was replaced by a new fixture and has been re-tested and fixtures do not have any new exceedances. LPA reviewed documents received from Enthanply Analytical Cal rural water stating Stepping Stones Learning Center and Infant Care results show that their new fixtures do not have any new exceedances.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: STEPPING STONES LEARNING CENTER AND INFANT CARE
FACILITY NUMBER: 304370227
VISIT DATE: 03/27/2024
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Based on LPAs record reviews of the lead sample results the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101700.3 California Lead Action Level at Child Care Centers is being cited on the attached LIC 809D.

Exit interview conducted and report was reviewed with the Director. 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.

Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/27/2024 10:33 AM - It Cannot Be Edited


Created By: Patricia Duron On 03/27/2024 at 10:03 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: STEPPING STONES LEARNING CENTER AND INFANT CARE
FACILITY NUMBER: 304370227

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

101700.3

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Division 12, Chapter 1, Subchapter 5
101700.3 California Lead Action Level at Child Care Centers (b) Testing... Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:
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Director stated they have already resolved issue, by replacing outlet C with a new faucet and retesting the outlet. The test results stated new fixtures do not have any new exceedances. LPA obtained a copy of the lead test results and lead testing documents.
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Based on facility Lead Sampling Results taken on 12/20/23 results indicate levels of lead exceedance for Outlet C located in staff kitchen had a result of 8.100 (parts per billion) 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:Patricia Duron
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2024


LIC809 (FAS) - (06/04)
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