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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422059
Report Date: 01/08/2024
Date Signed: 01/08/2024 11:08:28 AM

Document Has Been Signed on 01/08/2024 11:08 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PUSD - STEAM PRESCHOOLFACILITY NUMBER:
013422059
ADMINISTRATOR:BLANCA NEUMANNFACILITY TYPE:
850
ADDRESS:4667 BERNAL AVETELEPHONE:
(925) 462-4700
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 24DATE:
01/08/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Blanca NeumannTIME COMPLETED:
11:25 AM
NARRATIVE
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On 01/08/2024, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux conducted a Case Management - Lead Testing/Exceedance Inspection. LPA Dacanay Breaux met with Director Blanca Neumann. Also, present during today's visit were six (6) additional staff members and 24 preschool aged children.

The department was notified of a lead exceedance which exceeded the Action Level (ALE) established by the state for lead exposure, elevated lead levels that had exceeded 5.5 ppb . The four (4) outdoor water faucets/hose per director are not in use. Re-testing has been completed and failed. Since the outdoor hose is not used for preparing food and/or drinking the facility will completely cap off the spigots by February 9, 2024. The Lead report was posted on the parent's board as of today and will remain until next testing. Director will notify parents of the lead exposure and forward copy to LPA.

LPA discussed 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 to 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

See LIC 809-D for TYPE B deficiency cited during today's inspection.

Exit interview conducted with the facility representative Blanca Neumann. A notice of site visit was provided and must be posted for 30 days. Appeal Rights provided and discussed.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2024
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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Document Has Been Signed on 01/08/2024 11:08 AM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 01/08/2024 at 10:34 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: PUSD - STEAM PRESCHOOL
FACILITY NUMBER: 013422059

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2024
Section Cited

101700.3(b)(1)

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101700.3(b)(1) - Lead Testing Written Directive - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance (ALE)
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The outdoor water hose faucets exceeded lead levels were removed from usage per director. The hose spigots was replaced when retested there was still a lead Exceedance values of 5.5 or greater. By POC due date 2/9/24, per director the outdoor hose faucets will be capped and/or completely covered.
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This requirement is not met as evidenced by: Based on record review, the facility had 4 outdoor water hoses faucets had an ALE of 5.5ppb or greater which posed a potential health and safety risk to children in care.
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Director will notify LPA on or before the due date with invoice and photos that the four (4) outdoor water hoses have been shut off or completely covered.

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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:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 01/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/08/2024


LIC809 (FAS) - (06/04)
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