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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846373
Report Date: 10/25/2023
Date Signed: 10/25/2023 11:11:53 AM

Document Has Been Signed on 10/25/2023 11:11 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:EASTERSEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364846373
ADMINISTRATOR:SHAYLENE JUDSONFACILITY TYPE:
850
ADDRESS:1102 WEST PHILLIPS STREETTELEPHONE:
(909) 981-4668
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 59DATE:
10/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shaylene Judson TIME COMPLETED:
11:30 AM
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On 10/25/2023, Licensing Program Analysts (LPAs), Blanca Ruiz and Rachel Zeron conducted a Case Management inspection based on lead testing results received on the facility. LPAs toured the facility, took census and met with Shaylene Judson, Site Director to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPAs toured and obtained photos of the following water outlet identified with lead exceedances: Outlet C, at 16.2 ppb which was a water fountain located outside North site of building between classroom N3 and N4. LPA observed and obtained photos of the water fountain removed prior to opening date 10/02/2023.

Facility provides filtered water for the daycare children, and it is kept in each classroom. LPAs observed lead testing results posted at the entrance of the facility in the parent informational board.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report and a Notice of Site Visit (required to be posted for the next 30 days) was provided to the Director Shaylene Judson, on 10/25/2023. This report must be made available to the public upon request for three years.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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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