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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419453
Report Date: 10/26/2023
Date Signed: 10/26/2023 05:27:12 PM

Document Has Been Signed on 10/26/2023 05:27 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:OUSD - BRIDGES ACADEMY PRESCHOOLFACILITY NUMBER:
013419453
ADMINISTRATOR:THIBEAUX, TRINAILFACILITY TYPE:
850
ADDRESS:1325 53RD AVENUETELEPHONE:
(510) 879-1410
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 7DATE:
10/26/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Meccah ColemanTIME COMPLETED:
03:00 PM
NARRATIVE
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On 10/26/2023 at 12:45 PM Licensing Program Analyst (LPA) A. Curry conducted an unannounced case management inspection to follow up on a lead exceedance at the facility. LPA met with substitute Lead Teacher, Meccah Coleman, to explain the purpose of today's inspection. 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 Room 1 1st Draw. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink (See 809D). LPA was informed that day care children never use Room 1. The lead testing documentation provided during today's visit indicates the testing was completed on 08/30/2017. The facility is aware that lead testing should be completed every 5 years.

Exit interview conducted, appeal rights were given, and report was reviewed with Lead Teacher, Meccah Coleman.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2023
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 10/26/2023 05:27 PM - It Cannot Be Edited


Created By: Ashley Curry On 10/26/2023 at 12:16 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: OUSD - BRIDGES ACADEMY PRESCHOOL

FACILITY NUMBER: 013419453

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2023
Section Cited
CCR
101700.3

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Licensee shall maintain a lead value at or below the Action Level of 5.5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.

This requirement was not met as evidence by:
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By 11/24/2023 the facility will make the outlet Room 1 1st draw inoperable.

POC cleared by visit.

Room 1 is not used by day care children. Day care children only operate in Portable A.
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Based on interview and record review the licensee did not comply with the section cited above as outlet Room 1 1st Draw exceeded the acceptable amount of lead allowed in a child care center, which poses a potential Health and Safety risk to persons 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 Dyson
LICENSING EVALUATOR NAME:Ashley Curry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
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