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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830665
Report Date: 09/30/2026
Date Signed: 09/30/2026 09:42:06 AM

Document Has Been Signed on 09/30/2026 09:42 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SBCSS LIVE OAK STATE PRESCHOOL BLDG. C01FACILITY NUMBER:
364830665
ADMINISTRATOR/
DIRECTOR:		CYNTHIA CERVANTESFACILITY TYPE:
850
ADDRESS:2547 EAST RIVERSIDE DRIVETELEPHONE:
(909) 673-1705
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 14DATE:
09/30/2026
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Facility representative, Cynthia Cervantes TIME VISIT/
INSPECTION COMPLETED:
09:55 AM
NARRATIVE
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Due to lead testing requirements, Licensing Program Analyst (LPA), Aman Lama conducted a Case Management(CM) inspection based on lead testing results received by the facility. LPA toured the facility, took census, and met with facility representative, Cynthia Cervantes to discuss lead testing results and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and took photos of the following water outlets identified with lead exceedances: Outlet C, which registered 13.0ppb in September 2026; Outlet D, which registered 6.8ppb, also in September 2026. The facility representative stated they have remediated the lead in the water, however, have not been able to re-test for new results due to waiting on the water board.

LPA observed 2 water outlets, which are located in the outdoor play area. Additionally, LPA observed disposable plastic cups with water jugs in the classroom. The uncontaminated drinking water is from a water service from vendor- Sparkletts.


Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809-D.

The following resources were discussed and provided from PIN 21-21.1-CCP, which includes information on: 101700.6 Grant Funding for Qualifying Child care Centers and instructions for remediation.

An exit interview was conducted, and appeal rights discussed.

LPA provided facility representative, Cynthia Cervantes with a copy of this report, appeal rights and notice of site visit.

This report must be made available to the public upon request for three years.

Gilbert Sena
Aman Lama
DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 09/30/2026 09:42 AM - It Cannot Be Edited


Created By: Aman Lama On 09/30/2026 at 09:27 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SBCSS LIVE OAK STATE PRESCHOOL BLDG. C01
FACILITY NUMBER: 364830665

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/30/2026
Section Cited
HSC
1597.16(a)(1)

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(1) A licensed CCC defined in Section 1596.76, that is located in a building that was constructed before 01/01/2010, shall have its drinking water tested for lead contamination levels on/after 01/01/2020, but no later than 01/01/2023, and every 5 years after the date of inital test. This was not met as evidenced
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Facility will submit plan of correction for remediation (repairs/retesting or removal) for water outlets affected.
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by: Based on documentation & observation, the facility did not comply with the section cited above. The facility has been tested with the following lead exceedance values of 5.5 or above on water outlets: C(13) and D(6.8). This is a potential risk to the health & safety to chidlren in care.
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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.
Gilbert Sena
NAME OF LICENSING PROGRAM MANAGER:
Aman Lama
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2026


LIC809 (FAS) - (06/04)
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