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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300831
Report Date: 12/20/2023
Date Signed: 12/20/2023 01:12:01 PM

Document Has Been Signed on 12/20/2023 01:12 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CVUSD-SAUL MARTINEZFACILITY NUMBER:
336300831
ADMINISTRATOR:ZAMUDIO,MARCELLAFACILITY TYPE:
850
ADDRESS:65705 JOHNSON STREETTELEPHONE:
(760) 848-1075
CITY:MECCASTATE: CAZIP CODE:
92254
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
12/20/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Maria Navarrete TIME COMPLETED:
01:16 PM
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On the date and time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA met with teacher Maria Navarrete who was informed of the reason for the visit.

Assembly Bill 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers constructed before January 1, 2010, to test their drinking and cooking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. LPA observed on the report provided by the SWRCB that the sink/faucet identified as Faucet A, was identified as having high levels of lead (12.1ppb) on 9/20/2023.

The faucet is located in the school classroom. LPA spoke on the phone with Jean-Mari Dagarin, Coordinator of Early Learners, who told LPA that the faucet was immediately turned off and placed out of service. Children were provided bottled water. The faucet was replaced and retested. The new results found below action level (<5.0ppb).

Testing was completed within 180 days of being licensed. At no time did children use the faucet. Therefore, no citation will be issued.

An exit interview was conducted with Maria Navarrete. A copy of this report and a Notice of Site Visit was issued.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2023
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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