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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070200850
Report Date: 08/22/2023
Date Signed: 08/22/2023 11:56:41 AM


Document Has Been Signed on 08/22/2023 11:56 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:WE CARE SERVICES FOR CHILDRENFACILITY NUMBER:
070200850
ADMINISTRATOR:AZZOLINI, DARCIEFACILITY TYPE:
850
ADDRESS:2191 KIRKER PASS ROADTELEPHONE:
(925) 671-0777
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:60CENSUS: 0DATE:
08/22/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Darcie AzzoliniTIME COMPLETED:
12:00 PM
NARRATIVE
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On 08/22/2023 at 1115 AM Licensing Program Analyst (LPA), Randall Dunevant and Licensing Program Manager (LPM) Loretta Dyson conducted an announced case management inspection to follow up regarding a lead exceedance at the facility. LPA met with the director, Darcie Azzolini, to explain the purpose of today's inspection. The facility tested its drinking water for lead contamination on 01/16/2023 and outlet B-sink faucet TLC Room exceeded the acceptable amount of lead allowed at a childcare facility with a result of 8.6 PPB. The licensee failed to maintain a lead value at or below the Action Level for water lead testing resulting with values of 5.5ppb or greater for outlet B-sink faucet TLC Room. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink (See 809D for deficiency being cited today). The director was advised and place the faucet out of service and inoperable by the water being shut off at wall and placed a "Do not use" sign on the sink. Results are posted for parents of children in care to access and director has sent all required documents to regional office.

Exit interview conducted, appeal rights were given, and report was reviewed with Director, Darcie Azzolini,.

Appeal Rights and Report was provided.

Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Randall DunevantTELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2023
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 08/22/2023 11:56 AM - 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: WE CARE SERVICES FOR CHILDREN
FACILITY NUMBER: 070200850

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2023
Section Cited
CCR
101700.3(b)(2)

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100700.3 (b)(2) that states “Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.
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Outlet B-sink faucet TLC room has been permanently made inoperable by shutting off water source at wall and placing a do not use sign over the sink.
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 This requirement was not met as evidenced by: Licensee failed to maintain a lead value at or below the Action Level for water lead testing resulting with values of 5.5 PPB or greater for outlet B-sink faucet TLC room. This poses a potential risk to the health and safety of 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.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Randall DunevantTELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2