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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416485
Report Date: 10/20/2022
Date Signed: 10/20/2022 10:34:45 AM

Document Has Been Signed on 10/20/2022 10:34 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CHILD EDUCATION CENTERFACILITY NUMBER:
013416485
ADMINISTRATOR:SHAWINDER BRARFACILITY TYPE:
850
ADDRESS:2112 BROWNING STREETTELEPHONE:
(510) 548-1414
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: DATE:
10/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Shawinder BrarTIME COMPLETED:
10:42 AM
NARRATIVE
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On October 20, 2022 at 9:05am Licensing Program Analyst (LPA) Indira Loza conducted an unannounced case management inspection to follow up regarding the water supply in the Butterflies classroom which was exceeding the acceptable amount of lead allowed in a child care center. During the unannounced inspection the faucet in Site L was made inoperable and inaccessible to children in care. The director stated a licensed plumber repaired the sink in Site L on 10/17/2022. 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. The faucet in Site L 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 schedule an appointment for re-testing by November 14, 2022 Director is advised to email LPA with a date of when the results will are ready.

Exit interview conducted.
Report and Appeal Rights provided to Director Shawinder Brar.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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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Document Has Been Signed on 10/20/2022 10:34 AM - It Cannot Be Edited


Created By: Indira Loza On 10/20/2022 at 09:34 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILD EDUCATION CENTER
FACILITY NUMBER: 013416485

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2022
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. This requirement is not met as evidenced by
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Faciilty has replaced the faucet and is scheduled to re-test, in the meantime, the facility will discontinue use of the faucet. Facility shall email the test results for the new faucet and the completed forms by November 18, 2022.
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Based on Lead Testing Samples the facility had one water faucet with a lead level exceedance. This faucet was used for food preparation. This is an potential risk to Health and Safety of children 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.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022


LIC809 (FAS) - (06/04)
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