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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808887
Report Date: 02/16/2024
Date Signed: 02/16/2024 10:31:12 AM

Document Has Been Signed on 02/16/2024 10:31 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SMALL WORLD CHRISTIAN SCHOOLFACILITY NUMBER:
503808887
ADMINISTRATOR:PADILLA, MIRIAMFACILITY TYPE:
850
ADDRESS:1024 6TH STREETTELEPHONE:
(209) 523-4388
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY: 74TOTAL ENROLLED CHILDREN: 37CENSUS: 28DATE:
02/16/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Miriam PadillaTIME COMPLETED:
11:00 AM
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On February 16, 2024, Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced Case Management Inspection. LPA met with Director, Miriam Padilla. LPA Fierro toured the facility and took a census. The purpose of today’s inspection was to follow up with the facility regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb).

LPA conducted a tour of the facility inside and out and a census was taken.

Fresno North Regional Office had received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on records reviewed from Enthalpy Analytical and discussions with Director Miriam Padilla it has been determined that during the first round of testing outlets were in exceedance. Director removed/capped off outlets 503808887 U, 503808887 V, 503808945 G all other outlets were replaced and retested a second time. The following are the results of the second test.

503808887 U was observed to be an indoor water fountain located near the preschool kitchen, that was impacted with amount of lead 15.00 (ALE) of lead. Water fountain has been permanently removed.

503808887 V was observed to be an outside water fountain, that was impacted with amount of lead 9.70 (ALE) of lead. Water fountain has been permanently removed.

503808945 G was observed to be a (Boys) gym bathroom sink faucet, that was impacted with amount of lead 33.00 (ALE) of lead. Sink faucet was removed. (Sink has been capped off)

503808945 H was observed to be a (Boys) gym bathroom sink faucet. that was impacted with amount of lead 9.40(ALE) of lead. Retesting results are now NONE DETECTED (ND).

503808945 DD was observed to be a (Girls)vgym bathroom sink faucet, that was impacted with amount of lead 21.00 (ALE) of lead. Retesting results are now 3.2 (ALE)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SMALL WORLD CHRISTIAN SCHOOL
FACILITY NUMBER: 503808887
VISIT DATE: 02/16/2024
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503808887 A was observed to be a kitchen sink faucet located inside the gym in the infant building that was impacted with amount of lead 10.00 (ALE) of lead. Retesting results are now NONE DETECTED (ND).

503808887 S was observed to be a kitchen sink faucet located inside the preschool building, that was impacted with amount of lead 7.50 (ALE) of lead. Retesting results are now NONE DETECTED (ND).

Facility has completed and complied with all lead requirements at this time.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency are being cited: Director Miriam Padilla was provided a copy of this report along with a copy of the appeal rights.

An exit interview was conducted with Director Miriam Padilla.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC809 (FAS) - (06/04)
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