<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405602
Report Date: 04/27/2023
Date Signed: 04/27/2023 11:50:09 AM

Document Has Been Signed on 04/27/2023 11:50 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:GEORGE MILLER CENTER - RICHMONDFACILITY NUMBER:
073405602
ADMINISTRATOR:CHRISTINE SEDLACK-ROTTGERFACILITY TYPE:
830
ADDRESS:2801 ROBERT MILLER DRIVETELEPHONE:
(510) 374-3981
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 40TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
04/27/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Katina JonesTIME COMPLETED:
11:55 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Diana Campos met with Program Coordinator Katina Jones to conduct an unannounced case management inspection regarding lead exceedances from two faucets in the Infant/Toddler center. The Bright beginnings classroom faucet identified as faucet E and the Great beginnings classroom faucet identified as faucet D exceeded the acceptable amount of lead allowed in a child care center. During the unannounced inspection LPA toured the facility for a health and safety check. Present during the inspection were 7 staff and 9 children in care.

LPA observed the faucets identified as faucet E and D as inoperable for drinking or cooking during the inspection. Director stated that both faucets E and D have been replaced and will be retested. 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. Both faucets will remain inoperable and not be used for drinking or cooking 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.

See 809-D for deficiency.

Exit interview and report reviewed with Program Coordinator Katina Jones.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 04/27/2023 11:50 AM - It Cannot Be Edited


Created By: Diana Campos On 04/27/2023 at 10:53 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: GEORGE MILLER CENTER - RICHMOND
FACILITY NUMBER: 073405602

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/28/2023
Section Cited

101700.3(b)(1)

1
2
3
4
5
6
7
Lead Testing Written Directive
A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement has not been met as evidenced by:
1
2
3
4
5
6
7
Faucets identified as faucet E and D have been replaced and have been made inoperable for drinking and cooking. The citation is cleared during today's visit. The facility will schedule a re-test of both faucets E and D and notify the LPA of the scheduled test date by 5/27/2023.
8
9
10
11
12
13
14
Based on record review two faucets at the facility (identified as faucets E and D) used by children had a lead exceedance, which poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Diana Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2