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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422029
Report Date: 08/31/2023
Date Signed: 08/31/2023 12:59:33 PM

Document Has Been Signed on 08/31/2023 12:59 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDANGO - EDEN YOUTH CENTERFACILITY NUMBER:
013422029
ADMINISTRATOR:NEELAM SAINIFACILITY TYPE:
850
ADDRESS:680 WEST TENNYSON RDTELEPHONE:
(510) 782-6084
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 20DATE:
08/31/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Neelam SainiTIME COMPLETED:
01:20 PM
NARRATIVE
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On August 31, 2023 at 12:05 PM., Licensing Program Analyst (LPA) Elimika Woods conducted a Case Management inspection due to the center's lead testing results. LPA met with the facility representative, Neelam Saini. There were 20 preschool age children and three additional staff member present for the inspection.

LPA discussed with the facility representative that Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test. Health and Safety (HSC) Code section 1597.16 authorizes the Department to implement and administer procedures for lead testing at CCCs through written instructions until it adopts regulations under the Administrative Procedure Act. LPA discussed with the Director of the PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370 https://cdss.ca.gov/Portals/9/CCLD/PINs/2021/CCP/PIN-21-21-CCP.pdf

Sample ID G - Sink Faucet location had a Lead Action Level of Exceedance Response of more than 5.5ppb. The Director stated that Re-testing has been completed on 02/25/23. LPA confirmed the Plan of Correction with the facility representative

See LIC 809-D for deficiencies cited during today's inspection. LPA generated a Proof of Correction Clearance Letter and provided a copy to the facility representative.

Appeal rights provided. Exit interview was conducted with the facility representative Neelam Saini. A notice of site visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2023
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 08/31/2023 12:59 PM - It Cannot Be Edited


Created By: Elimika Woods On 08/31/2023 at 12:36 PM
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: KIDANGO - EDEN YOUTH CENTER
FACILITY NUMBER: 013422029

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/31/2023
Section Cited

101238(a)

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101238(a) Buildings and Grounds: 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 confirmed the Plan of Correction (retest results provided on 02/25/23).
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Sample ID G - Sink Faucet had a Lead Action Level of Exceedance Response of more than 5.5ppb. This poses a potential health, safety and personal rights risk to 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:Chandra Charles
LICENSING EVALUATOR NAME:Elimika Woods
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2023


LIC809 (FAS) - (06/04)
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