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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420549
Report Date: 07/09/2024
Date Signed: 07/09/2024 02:42:53 PM

Document Has Been Signed on 07/09/2024 02:42 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ALBANY CHILDREN'S CENTERFACILITY NUMBER:
013420549
ADMINISTRATOR/
DIRECTOR:		REED, JOSHUAFACILITY TYPE:
850
ADDRESS:720 JACKSON STREETTELEPHONE:
(510) 559-6590
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: DATE:
07/09/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:Joshua ReedTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On Tuesday, 7/9/24 at 1:50PM, Licensing Program Analyst (LPA) Brittany Crass, arrived at the facility to conduct an unannounced visit to follow up regarding a previous lead exceedance. LPA met with the Director, Joshua Reed, to explain the purpose of today's visit.

Previous water samples for outlet H, taken on 11/16/23 and 2/10/24, showed results identified as an Action Level Exceedance as defined in WD section 101700.3 and were deemed not safe to drink. The Director stated the faucet was never used for drinking.

On 6/25/24 the Director notified licensing that the faucet was permanently removed.

During todays visit, LPA confirmed Faucet H had been removed and the lead exceedance has been resolved.
Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Joshua Reed.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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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