<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013411080
Report Date: 05/06/2022
Date Signed: 05/06/2022 12:43:04 PM

Document Has Been Signed on 05/06/2022 12:43 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: DATE:
05/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Diana DavisTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 05/06/2022 Licensing Program Analyst (LPA) A. Curry conducted an unannounced case management inspection to follow up regarding the water supply in Site D exceeding the acceptable amount of lead allowed in a child care center. During the unannounced inspection on 03/24/2022, the sink in Site D was made inoperable and inaccessible to children in care. LPA met with the director DIana Davis to discuss the purpose of today's visit. The director stated a licensed plumber repaired the sink in Site D on 03/31/2022. The facility was directed to run the water 4 times a day for 30 seconds for a total of 3 weeks before retesting the water supply. On 04/23/2022 the sink in SIte D was retested by a certified water sampler and the facility is still awaiting the results. The sink in Site D will remain inoperable and not be used until the facility is notified that the amount of lead in the water supply is acceptable. The facility will contact the water sampler agency to follow up immediately regarding the results. Director is advised to email LPA with a date of when the results will be ready.

Exit interview conducted, appeal rights were given, and report was reviewed with director Diana Davis.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1