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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846368
Report Date: 10/11/2023
Date Signed: 10/11/2023 03:19:41 PM

Document Has Been Signed on 10/11/2023 03:19 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BEAUMONT/DESERT PRESCHOOL ACADEMYFACILITY NUMBER:
334846368
ADMINISTRATOR:CARRANZA,HOREBFACILITY TYPE:
850
ADDRESS:874 BEAUMONT AVENUETELEPHONE:
(951) 845-1441
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 6DATE:
10/11/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Director Janell LawrenceTIME COMPLETED:
03:30 PM
NARRATIVE
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Due to required lead testing requirements, Licensing Program Analyst (LPA) Perla Ordones conducted a Case Management inspection based on lead testing results received on the facility. LPA toured the facility, took census and met with Director Janell Lawrence to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and obtained photos of the following water outlets identified with lead exceedances: Outlet C (7.68 ppb) which is located in classroom 2. LPA observed and obtained photos of required signs posted at outlets for cessation of use.

Facility implemented the following plan of action until formal remediation can be completed: All water
outlets are covered with posted signs to signal non use. Facility outlet C is a faucet located in classroom 2 and is not used for consumption. Facility will retest the water outlet at a later date in order to determine future use.
Photos also obtained of additional source for access to water: Facility has access to additional water faucets that have not tested as action level exceedances and the facility is also using water sports jugs and disposable cups for indoor/outdoor use.

Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D.

Additionally, the following resources were discussed and provided from PIN 21-21.1- CCP dated December 28, 2022:

Continue on LIC809C.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BEAUMONT/DESERT PRESCHOOL ACADEMY
FACILITY NUMBER: 334846368
VISIT DATE: 10/11/2023
NARRATIVE
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101700.6 Grant Funding for Qualifying Child care Centers

(a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria:
(1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age.
(2) Those that have 50 percent or more of their registered children who receive subsidized care.
(3) Those that operate only one facility.
(b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website.
(1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Janell Lawrence.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/11/2023 03:19 PM - It Cannot Be Edited


Created By: Perla Ordones On 10/11/2023 at 03:03 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BEAUMONT/DESERT PRESCHOOL ACADEMY
FACILITY NUMBER: 334846368

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2023
Section Cited
CCR
101700.3(b)(1)

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California Lead Action Level at Child Care Centers CCR 101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidence by:
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Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlets testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level.
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Based on records review of required lead testing, the licensee did not comply with the section cited above as the facility had lead values of 5.5 or above on water outlets: Outlet C (7.68 ppb) which poses a potential health, safety or personal rights risk to persons in care.
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Facility will notify CDSS with completion within 30 days. Additionally, facility agrees to submit a written plan detailing the facility's plan of action for the faucet with the action level exceedance with 15 days to Community Care Licensing.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2023


LIC809 (FAS) - (06/04)
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