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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216130
Report Date: 11/22/2022
Date Signed: 11/22/2022 10:54:29 AM

Document Has Been Signed on 11/22/2022 10:54 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CHILDREN'S COURTYARD, THEFACILITY NUMBER:
566216130
ADMINISTRATOR:KATHERINE STEVENSFACILITY TYPE:
850
ADDRESS:28370 ROADSIDE DRIVETELEPHONE:
(818) 889-9841
CITY:AGOURA HILLSSTATE: CAZIP CODE:
91301
CAPACITY: 140TOTAL ENROLLED CHILDREN: 140CENSUS: 35DATE:
11/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tiffany HouseTIME COMPLETED:
11:05 AM
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On November 22, 2022 at 9:35 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Case Management inspection to follow-up on an Action Level Exceedance (ALE) reported to the Regional Office by Division of Drinking Water (DDW). LPA met with facility Director, Tiffany House and advised her the purpose of the inspection. Director provided LPA a tour of the facility. There were 35 children in care at the time of the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five (5) years after the date of the first test. If the water testing results indicate that the facility has an ALE, an immediate response shall be required pursuant to section 101704, which may include remediation.

The Regional Office received an ALE for two (2) water outlets in this facility. The Center was notified by LPA Matthew of the results on August 26, 2022 by phone. LPA advised Director that location (G) had an ALE of 19.6 ppb and location (H) had an ALE of 14.9 ppb. Director advised the locations had been secured preventing children/staff from having access and were replaced on August 25, 2022.

During today’s inspection, LPA toured the entire facility and inspected the outlets in question. LPA observed that the two outlets were hand washing sinks in the Toddler classroom. Director advised children are provided water in pitchers with a filter from the facility kitchen faucet. The kitchen faucet used for drinking and cooking water passed the Lead test. Director advised the hand washing sinks were never used for drinking water. Director provided LPA a copy of the retest results of the two (2) outlets after they were replaced.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHILDREN'S COURTYARD, THE
FACILITY NUMBER: 566216130
VISIT DATE: 11/22/2022
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The test showed the outlets in question passed without an ALE correcting the previous exceedance.

LPA reviewed the Provider Information Notice (PIN) 21-21-CCP "Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370."

Per PIN 21-21-CCP, the following outlet locations should be sampled: cold water faucets and fountains, cold water side of single-handle and dual-handle faucets that dispense both hot and cold water, filtered water dispensers, and water dispensed by refrigerators used for drinking and cooking water. The following ALE outlets sampled should not have been tested since they were hand washing sinks for staff and children.

No deficiency was cited during today's inspection.

Exit interview conducted and report was reviewed with the Director.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC809 (FAS) - (06/04)
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