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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701313
Report Date: 12/06/2022
Date Signed: 12/06/2022 01:15:18 PM

Document Has Been Signed on 12/06/2022 01:15 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:EES VISTA INNOVATION EARLY EDUCATION CENTERFACILITY NUMBER:
376701313
ADMINISTRATOR:MELISSA DUFFYFACILITY TYPE:
850
ADDRESS:836 OLIVE AVENUETELEPHONE:
(760) 726-2170
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 46DATE:
12/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Melissa Duffy-Site DirectorTIME COMPLETED:
01:30 PM
NARRATIVE
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On December 6, 2022 at 12:15 PM, Licensing Program Analyst (LPA) Andrea Taylor, conducted a Case Management visit in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Taylor met with Melissa Duffy, Site Director (SD) who was informed of the reason for the visit.

Assembly Bill 2370 Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child DCenters constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing.

During the visit, LPA Taylor toured the facility and observed the faucet identified as having high levels of lead. The faucet is located in the Willow classroom. The SD told LPA that the sink was immediately turned off and placed out of service until the plumber could come and replace the faucet.

Interviews with staff revealed the faucet is used for staff hand washing and sometimes cleaning toys and filling Brita for drinking water.

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

An exit interview was conducted with SD. A copy of this report, appeal rights and a Notice of Site Visit was issued.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2022
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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Document Has Been Signed on 12/06/2022 01:15 PM - It Cannot Be Edited


Created By: Andrea Taylor On 12/06/2022 at 12:59 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: EES VISTA INNOVATION EARLY EDUCATION CENTER
FACILITY NUMBER: 376701313

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/06/2023
Section Cited
HSC
101700.3(b)(1)

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101700.3(b)(1): (b) 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.
This requirement was not met as evidenced by:
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The director states the faucet will be retested after the flushing process is completed.

The director will submit the retest results to the Department.
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Receipt of Lead testing on 10/29/22 by certified Lead Tester. The faucet was put out of service immediately. The faucet will be retested after the flushing process is completed.
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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:Pauline Beschorner
LICENSING EVALUATOR NAME:Andrea Taylor
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2022


LIC809 (FAS) - (06/04)
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