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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422415
Report Date: 07/20/2023
Date Signed: 07/20/2023 01:57:00 PM


Document Has Been Signed on 07/20/2023 01:57 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:PRIDE IN LEARNING MONTESSORI SCHOOLFACILITY NUMBER:
013422415
ADMINISTRATOR:LEON, DARA & LAMB, AMBERFACILITY TYPE:
830
ADDRESS:1330 LAKESHORE AVE.TELEPHONE:
(510) 408-8180
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:16CENSUS: 6DATE:
07/20/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Amber LambTIME COMPLETED:
03:00 PM
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
On 07/20/2023 at 8:45 AM Licensing Program Analyst (LPA) A. Curry conducted an unannounced case management inspection to follow up on the lead testing at the facility. LPA met with director, Amber Lamb, to explain the purpose of today's visit. The licensee did not have its drinking water tested for lead contamination and the director stated she was unaware of the lead testing requirement (See 809D). The director was advised to review PIN 21-21.1-CCP for more information on the lead testing requirements for child care facilities.

Exit interview conducted, appeal rights were given, and report was reviewed with the director Amber Lamb.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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 07/20/2023 01:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: PRIDE IN LEARNING MONTESSORI SCHOOL
FACILITY NUMBER: 013422415

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2023
Section Cited
HSC
1597.16(a)(1)

1
2
3
4
5
6
7
ยง1597.16(a) (1) A licensed child day care center.. that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023...
1
2
3
4
5
6
7
By 08/18/2023, the facility will submit confirmation of appointment with a certified water sampler to test for lead contamination.
8
9
10
11
12
13
14
This requirement is not met as evidence by:
Based on interview and record review, the facility did not comply with the section cited above by ensuring the lead testing was completed prior to the deadline of 01/01/2023.
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: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2