<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300127
Report Date: 06/10/2022
Date Signed: 06/10/2022 10:44:41 AM

Document Has Been Signed on 06/10/2022 10:44 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDS PARADISE DAYCARE (INFANT)FACILITY NUMBER:
376300127
ADMINISTRATOR:IRMA J GUERRERO ESPINOZAFACILITY TYPE:
830
ADDRESS:1701 N SANTA FE AVETELEPHONE:
(760) 407-6737
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: 9DATE:
06/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Daniel Luna, AdministratorTIME COMPLETED:
10:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 10, 2022 at 9:15 am, Licensing Program Analyst (LPA) Cindy Hamilton, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Hamilton met with Daniel Luna, Administrator (ADM) who was informed of the reason for the premise visit.

During the visit, LPA Hamilton informed ADM, that the results provided from SWRCB, indicated that the facility had elevated levels of lead in the water used for drinking and/or the preparation of food and the Department was notified of the Action Level Exceedance (ALE). The SWRCB report listed facilities inspected as 376300126 and 376300127. The sink identified as having high levels of lead was located in the infant classroom of 376300127.

LPA advised ADM, that all water outlets tested with an ALE at the facility should be placed as out of service and children should be provided with an alternative potable water.

See LIC 809D for cited deficiencies in accordance with the California Code of Regulations Title 22, Division 12.

An exit interview was conducted with ADM. A copy of this report, appeal rights and a Notice of Site Visit was issued.

This report shall be public record for three years.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2022
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 2
Document Has Been Signed on 06/10/2022 10:44 AM - It Cannot Be Edited


Created By: Cindy Hamilton On 06/10/2022 at 10:23 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KIDS PARADISE DAYCARE (INFANT)
FACILITY NUMBER: 376300127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
06/10/2022
Section Cited
CCR
101238(a)

1
2
3
4
5
6
7
101238(a) Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
LPA advised was advised by Administrator that the facility has not used Sink "D" since December 2021 and Sink "D" is no longer being used. LPA observed Sink "D" water source has been capped off and Sinks "D" amd "E" were replaced with one large sink with water
8
9
10
11
12
13
14
Per SWRCB results facility was identified as having high levels of lead in crib room of Room #1 Sink "D"
8
9
10
11
12
13
14
source coming from what was sink "E". POC cleared by LPA during visit.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Carlos Martinez
LICENSING EVALUATOR NAME:Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2