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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400789
Report Date: 11/02/2022
Date Signed: 11/02/2022 11:16:43 AM


Document Has Been Signed on 11/02/2022 11:16 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:FIRST BAPTIST CHURCH HEAD START - KIDS CASTLEFACILITY NUMBER:
073400789
ADMINISTRATOR:BRENDA W. BATTLEFACILITY TYPE:
850
ADDRESS:55 CASTLEWOOD DRIVETELEPHONE:
(925) 473-2020
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:127CENSUS: 31DATE:
11/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Patricia TaylorTIME COMPLETED:
11:20 AM
NARRATIVE
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On 11/2/22 at 9:55 AM Licensing Program Analyst (LPA) Michelle Sutton met with Director Patricia Taylor to conduct a Case Management inspection for the Lead Testing results at First Baptist Church Head Start-Kids Castle, which as of 10/19/22 is YMCA OF THE EAST BAY - KIDS CASTLE ELC license number 073408941.

LPA conducted an inspection and toured the premises with Patricia Taylor. It was indicated that there were at least two outlets that exceeded the Action Level established by the state for exposure.The facility had removed both faucets from classroom 5. Director stated classroom 5 has not been used since June 2021. The 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 Patricia Taylor.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022
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 11/02/2022 11:16 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: FIRST BAPTIST CHURCH HEAD START - KIDS CASTLE
FACILITY NUMBER: 073400789

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/09/2022
Section Cited

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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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Based on Lead Testing Samples the facility has two water faucets in classroom 5 with lead exposure. This is an potential risk to Health and Safety or Personal Rights risk to persons in care.
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Facility has removed both faucets from classroom 5. Classroom 5 has been closed since June of 2021.

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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 JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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