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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420933
Report Date: 01/24/2025
Date Signed: 01/24/2025 10:25:10 AM

Document Has Been Signed on 01/24/2025 10:25 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:LIVE, LEARN AND LAUGH PRESCHOOL - SITE IIFACILITY NUMBER:
013420933
ADMINISTRATOR/
DIRECTOR:		MARYLAND, TYESHAFACILITY TYPE:
850
ADDRESS:14871 BANCROFT AVETELEPHONE:
(510) 326-1164
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 17DATE:
01/24/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:juanita simmonsTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
NARRATIVE
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On January 24th, 2025, at 8:50 am Licensing Program Analyst (LPA) Michael Mathew conducted a Case Management - Lead Testing/Exceedance Visit. LPA met with facility representative Juanita Simmons and advised her the purpose of the inspection. LPA was provided a tour of the facility inside and out. There were 17 children in care and 2 staff at the time of the inspection.

LPA discussed to the facility representative Juanita 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 facility representative Juanita 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 A,B,C, and D where tested and result of the test showed that sample ID D had a Lead Action Level of Exceedance Response of more than 5.5ppb. facility representative stated that they do not use the sink that tested high, and that they bring water from an outside vender.
Please see LIC 809D page for the citation.

Appeal rights provided. Exit interview was conducted with the Director Veronica Leon

Wynn NoronaTELEPHONE: (510) 421-1324
Michael MathewTELEPHONE: 510-292-8297
DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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 03/06/2025 09:38 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/06/2025 06:59 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: LIVE, LEARN AND LAUGH PRESCHOOL - SITE II
FACILITY NUMBER: 013420933

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2025
Section Cited

101700.3(B)(1)

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THIS IS AN AMENDED 809 D.
101700.3(b)(1)A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
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Facility agreed to turn off the water source or cover the water source and add a sign that says, “Do not use", and agreed to send a picture to LPA by end of day 2/7/2025.
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Sample ID D 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.
Wynn NoronaTELEPHONE: (510) 421-1324
Michael MathewTELEPHONE: 510-292-8297

DATE: 01/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2025

LIC809 (FAS) - (06/04)
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