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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371631
Report Date: 04/11/2024
Date Signed: 04/11/2024 02:14:46 PM

Document Has Been Signed on 04/11/2024 02:14 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARYFACILITY NUMBER:
304371631
ADMINISTRATOR/
DIRECTOR:		RAMIREZ-CUESTA, SYLVIAFACILITY TYPE:
850
ADDRESS:24695 PASEO DE TORONTOTELEPHONE:
(714) 779-8145
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 32DATE:
04/11/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Director Sylvia CuestaTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On 4/11/24, Licensing Program Analyst (LPA) Anna Chan conducted an unannounced Case Management visit. LPA met with Director, Monette Perez to discuss the Lead Sampling Testing. LPA was led on a walk through of the facility, census taken was 32 preschool children and 4 staff. Director of Linda Vista Sylvia Cuesta arrived around 1:30pm to continue with the visit.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedance (ALE). The facility has not done re-testing and was cited.

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Child Care Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.

Director was advised that on 8/30/23, lead testing was done in the facility and the water on sample D and D30 failed with a result of 8.7ppb and 12ppb respectively. The faucets needs to be re-tested or removed for Lead Exceedance. Te facility is providing filtered water using Brita water pitcher to children in care. Director Cuesta stated that Lead Testing will be repeated for the facility to find out which faucet failed lead testing. Documents from the previous testing were not available.

(Page 2 of Report)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 04/11/2024 02:14 PM - It Cannot Be Edited


Created By: Anna Francesca Chan On 04/11/2024 at 01:45 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: PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARY
FACILITY NUMBER: 304371631

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/13/2024
Section Cited

101700.3(b)

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Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level.
(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

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Director Cuesta stated that facility will follow Written Directives and submitted all required documentation including LIC 9275, 9276, plan of correction and details of steps taken to resolve the deficiency by due date.
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This requirement is not met as evidenced by record review from water board analysis from faucet D and D30 taken on 08/30/23. Results indicated levels of lead in exceedance. This poses a potential risk to the health and safety of children in care.
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 Director Cuesta stated that a re-testing will be done by the facility and will provide information to LPA by due date of 5/13/24

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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:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: PLACENTIA YORBA LINDA USD:BRYANT RANCH ELEMENTARY
FACILITY NUMBER: 304371631
VISIT DATE: 04/11/2024
NARRATIVE
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Based on LPA's observation and interview with Director, the following violation was observed and is being cited in accordance with Health and Safety Code 1597.16(a)(1) Lead Testing is being cited on the attached LIC 809D.

Exit interview conducted and report was reviewed with Director Sylvia Cuesta. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights and deficiency were explained. The Director was provided a copy of appeal rights (LIC 9058) 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: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
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