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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406654
Report Date: 02/24/2023
Date Signed: 02/24/2023 02:15:50 PM

Document Has Been Signed on 02/24/2023 02:15 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:YMCA CHILDCARE- STRANDWOODFACILITY NUMBER:
073406654
ADMINISTRATOR:ELIZA ESPINOZAFACILITY TYPE:
840
ADDRESS:416 GLADYS DRTELEPHONE:
(925) 674-1662
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 125TOTAL ENROLLED CHILDREN: 84CENSUS: 23DATE:
02/24/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Andrea GarciaTIME COMPLETED:
02:30 PM
NARRATIVE
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On 2/24/23 at 1:00 pm Licensing Program Analyst (LPA) Monica Mathur and Kevin Gaines conducted an unannounced inspection at YMCA Childcare Strandwood. LPA met with Director, Andrea Garcia and explained the purpose of today's inspection which is to follow up on Lead Testing results at the Center.

LPA conducted an inspection and toured the premises with Director, Andrea Garcia. It was indicated that there was at least one outlet in the kitchen area that exceeded the Action Level established by the State for exposure. Director states the outlet was used for drinking water and has not been in use since COVID. Outlet has been removed permanently since the test. Due to outlet being used by children for drinking, it posed a potential risk to health and safety of children in care.

Deficiency is cited from the California Code of Regulations, Title 22 (see 809D). Since the outlet has been permanently removed, the deficiency was cleared during today's inspection. Letter of Clearance was provided.

Exit interview conducted and report was reviewed with the Director, Andrea Garcia. A Notice of Site Visit was given and must remain posted for 30 days.

Sherelle Johnson
Monica Mathur
DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2023
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 02/24/2023 02:15 PM - It Cannot Be Edited


Created By: Monica Mathur On 02/24/2023 at 01:24 PM
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: YMCA CHILDCARE- STRANDWOOD
FACILITY NUMBER: 073406654

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2023
Section Cited

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101700.3(b)(2) 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. This requirement is not met as evidenced by:
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Per LPA's inspection there is at least one outlet in the kitchen area that exceeded action level established by State for lead exposure. Children used the outlet for drinking water. This posed a potential risk to health safety of children.
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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 Johnson
LICENSING EVALUATOR NAME:Monica Mathur
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2023


LIC809 (FAS) - (06/04)
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