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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212601
Report Date: 07/18/2022
Date Signed: 07/18/2022 02:38:03 PM

Document Has Been Signed on 07/18/2022 02:38 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:LOS MEDANOS COLLEGE CHILD STUDY CENTERFACILITY NUMBER:
070212601
ADMINISTRATOR:KATHRYN NEILSENFACILITY TYPE:
850
ADDRESS:2700 EAST LELAND ROADTELEPHONE:
(925) 473-7628
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY: 80TOTAL ENROLLED CHILDREN: 18CENSUS: 14DATE:
07/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Angela Fantzuzi TIME COMPLETED:
11:50 AM
NARRATIVE
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On 7/18/22 at 9:50 AM Licensing Program Analyst (LPA) Michelle Sutton met with Director Angela Fantzuzi and Director of Maintenance & Operations Michael Schenone to conduct a Case Management inspection for the Lead Testing results at Los Medanos College Child Study Center.

LPA conducted an inspections and toured the premises with Angela and Michael. It was indicated that there were at least one outlet exceeded the Action Level established by the stated for exaposure. LPA discussed a Plan of Correction and facility has submitted the documentation for the post-testing requirements.

The following deficiency is (See LIC 809-D.) cited from the California Code of Regulations, Title 22. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Angela Fantzuzi.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2022
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 07/18/2022 02:38 PM - It Cannot Be Edited


Created By: Michelle Sutton On 07/18/2022 at 01:57 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: LOS MEDANOS COLLEGE CHILD STUDY CENTER
FACILITY NUMBER: 070212601

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2022
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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By 7/25/22 Facility agreed to develop a plan to ensure children are provided alternative safe drinking water for the new school year.
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Based on Lead Testing Samples the facility has multiple water faucets and fountains for lead exposure. This is an potential risk to Health and Safety or Personal Rights risk to persons in care.
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By 8/08/22 Facility will to replace or repair outlets.

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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:Sherelle Johnson
LICENSING EVALUATOR NAME:Michelle Sutton
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2022


LIC809 (FAS) - (06/04)
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