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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010212344
Report Date: 02/08/2023
Date Signed: 02/08/2023 11:25:40 AM

Document Has Been Signed on 02/08/2023 11:25 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ST. CLARE'S CHRISTIAN PRESCHOOLFACILITY NUMBER:
010212344
ADMINISTRATOR:KAREN BERRYFACILITY TYPE:
850
ADDRESS:3350 HOPYARD ROADTELEPHONE:
(925) 462-0938
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 55DATE:
02/08/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Karen Berry TIME COMPLETED:
11:35 AM
NARRATIVE
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On February 8, 2023, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux conducted a Case Management - Lead Testing/Exceedance Visit. LPA met with the Director, Karen Berry and explained the nature of the visit and to review the results of the recent lead testing. There were 55 children in care and 14 fingerprint and associated staff present during the inspection. Hours of operation Monday - Friday 7:00 AM - 6:00 PM.

On November 7, 2022 a lead test sample was drawn in the facility. The results were received on December 16, 2022. LPA conducted an inspection and inspected the facility for health and safety. LPA viewed a plan of correction and the lead testing results are posted in a public area. All parents will be informed of the test results by February 10, 2023 via email.



LPA obtained photos of the water fountain and a copy of the report. A plan of correction was discussed with the Director. This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number 101238(a) Building and Grounds. (Please see 809-D page for citation and Plan of Correction details).

In addition, the children bring their own bottled water from home and the facility has filter water, the staff will refill the water bottles as needed.

A notice of site visit was given and must remain posted for 30 days. A copy of this report was provided. Appeal Rights provided. Exit interview conducted and report was reviewed with the Director Karen Berry.



Exit interview was conducted with the Director, Karen Berry.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 02/08/2023 11:25 AM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 02/08/2023 at 10:45 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. CLARE'S CHRISTIAN PRESCHOOL
FACILITY NUMBER: 010212344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2023
Section Cited
CCR
101238(a)

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101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors....
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LPA observed the facility has shut down the water fountain and is completely covered.There is a "Do Not Use" sign on the fountain, until it is repaired/removed. The children are currently using personal water bottles that are refilled throughout the day the facility has filitered water on site.
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Based on lead testing results,1 indoor water fountain that was tested have lead levels exceeding 5.5ppb which poses a potential Health and Safety risk to children in care.
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DIrector must show proof to the LPA via email/photos, that the water fountain has been removed and/or repaired. The documentation must be submitted to LPA no later then March 8, 2023.
Lorraine.Dacanay-Breaux@dss.ca.gov

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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:Chandra Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023


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