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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010206129
Report Date: 04/25/2023
Date Signed: 04/25/2023 12:48:44 PM

Document Has Been Signed on 04/25/2023 12:48 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:LANEY COLLEGE CHILDREN'S CENTERFACILITY NUMBER:
010206129
ADMINISTRATOR:ANDREWS, CYNTHIAFACILITY TYPE:
850
ADDRESS:900 FALLON STREETTELEPHONE:
(510) 464-3575
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 98TOTAL ENROLLED CHILDREN: 98CENSUS: 63DATE:
04/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Erica HarrellTIME COMPLETED:
01:00 PM
NARRATIVE
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On 4/25/23 at 11:45am, Licensing Program Manager (LPM) Loretta Dyson and Licensing Program Analyst (LPA) Lisa Dyer arrived at the facility to conduct an unannounced case management inspection to follow up on results received regarding lead exceedance. LPM and LPA met with Erica Harrell. There were 63 children and 11 additional staff also present.

The facility completed the required lead testing of water outlets used to prepare food, or provide drinking water, for children and two outlets were found to be in exceedance of the Action Level of 5 ppb. The facility took immediate action and made the two outlets inaccessible to children while they were being repaired. The facility completed and submitted all required documents to Licensing, notified all families of the test results with a letter and posted the test results in the facility. LPM and LPA inspected the two outlets and verified that they have been made inaccessible, and signs have been placed to advise not to use the outlets.

The two outlets have now been repaired and the facility is completing the flushing process, and will have the outlets retested sometime in May 2023. The facility understands that they are unable to use the two outlets until they receive the test results, and the Action Level is 5 ppb or below.

See LIC 809D for a deficiency being cited today. The deficiency is being cleared since the facility has completed the plan of correction. No other deficiencies are being cited today. An exit interview was conducted with Erica Harrell, and a copy of this report, Notice of Site Visit, and appeal rights were emailed to the facility. The facility was reminded to have the Notice of Site Visit posted for 30 days.

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2023
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 04/25/2023 12:48 PM - It Cannot Be Edited


Created By: Loretta Dyson On 04/25/2023 at 12:19 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: LANEY COLLEGE CHILDREN'S CENTER

FACILITY NUMBER: 010206129

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/25/2023
Section Cited
CCR
101700.3(b)(1)

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101700.3 California Lead Action Level at Child Care Centers (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.
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The facility immediately made the two outlets inaccessible to children while repairs were being completed. The two outlets have now been repaired and will be retested sometime in May 2023.
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This requirement has not been met as evidenced by the lead testing results received, indicating that two outlets in the facility had results in exceedance of the 5 ppb Action Level. This poses a potential risk to the children in care.
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The facility will submit the test results once the outlets are retested, and undersands not to use the outlets until the Action Level is determined to be 5 ppb or below.

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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:Diane Perez
LICENSING EVALUATOR NAME:Loretta Dyson
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2023


LIC809 (FAS) - (06/04)
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