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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422499
Report Date: 05/20/2024
Date Signed: 05/20/2024 10:59:00 AM

Document Has Been Signed on 05/20/2024 10:59 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:EAST BAY GERMAN INTERNATIONAL SCHOOLFACILITY NUMBER:
013422499
ADMINISTRATOR/
DIRECTOR:		KATHARINA WOJAKFACILITY TYPE:
850
ADDRESS:1070 41ST STREETTELEPHONE:
(510) 380-0301
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 31DATE:
05/20/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:19 AM
MET WITH:Traci McMillanTIME VISIT/
INSPECTION COMPLETED:
12:00 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 5/20/24 at 8:19am Licensing Program Analyst (LPA) arrived at East Bay German International School - Preschool Center for an unannounced case management - lead testing/exeedance visit. There were 31 preschool children in attendance during inspection.

Per Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

During inspection LPA conducted a record review and discovered that lead testing was completed in May of 2024 and results are not yet available for review. LPA collected lead testing sampling documents.

Please see 809-D for deficiency.

Exit Interview conducted with director Traci McMillan. Appeal rights provided. A Notice of Site visit was provided to be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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 05/20/2024 10:59 AM - It Cannot Be Edited


Created By: Ashley Akinleye On 05/20/2024 at 10:13 AM
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: EAST BAY GERMAN INTERNATIONAL SCHOOL
FACILITY NUMBER: 013422499

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2024
Section Cited
CCR
1597.16(a)(1)

1
2
3
4
5
6
7
(a) (1) A licensed child day care center, as defined in Section 1596.76, 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, and every five years after the date of the initial test.
1
2
3
4
5
6
7
Director stated that the facility will submit lead testing results to licensing by POC date 5/27/24.
8
9
10
11
12
13
14
Based upon record review the facility completed their lead testing after Jan 1, 2023. Lead testing was completed in May of 2024.
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:Sherelle Johnson
LICENSING EVALUATOR NAME:Ashley Akinleye
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2