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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013411080
Report Date: 03/24/2022
Date Signed: 03/24/2022 03:08:45 PM

Document Has Been Signed on 03/24/2022 03:08 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:BROADWAY CHILDREN'S SCHOOL OF OAKLAND, INC.FACILITY NUMBER:
013411080
ADMINISTRATOR:DAVIS, DIANAFACILITY TYPE:
850
ADDRESS:394 ADAMS STREETTELEPHONE:
(510) 763-9337
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY: 42TOTAL ENROLLED CHILDREN: 48CENSUS: 3DATE:
03/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Jessie KaelTIME COMPLETED:
04:00 PM
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On 03/24/2022 at 1:40pm Licensing Program Analysts (LPAs) A. Curry and C. Watts conducted an unannounced case management inspection to discuss the lead in the water supply at the facility. LPAs were greeted at the door by the director Diana Davis but toured the facility with business manager Jessie Kael. Ms. Kael stated the facility has not received the results of the lead testing. LPA A. Curry informed Ms. Kael that the water supply in Site D exceeded the acceptable amount of lead required for child care centers and she immediately made the sink in Site D inoperable by taping a bag over the sink to ensure children in care are not able to access the water. Ms. Kael stated she will have the sink in Site D repaired and have the water supply retested by a certified external water sampler within 30 days and before use.

An exit interview was conducted with director Diana Davis, appeal rights were given, and a copy of this report was provided.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2022
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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