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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423037
Report Date: 11/27/2023
Date Signed: 11/27/2023 11:50:06 AM

Document Has Been Signed on 11/27/2023 11:50 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:LES PETITS FRANCOPHONESFACILITY NUMBER:
013423037
ADMINISTRATOR:PRENTIES S. BROWNFACILITY TYPE:
850
ADDRESS:4101 PARK BOULEVARDTELEPHONE:
(510) 479-1250
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 18DATE:
11/27/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Laetitia MedranoTIME COMPLETED:
12:00 PM
NARRATIVE
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On 11/27/2023 at 9:15 AM Licensing Program Analysts (LPAs) A. Curry and B. Crass conducted an unannounced case management inspection to follow up on a lead exceedance at the facility. LPAs met with the Executive Director, Laetitia Medrano, 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 outlets A & D. Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink (See 809D). During today's visit the Director indicated both outlets have not been used since the facility received the notice of a lead exceedance. The LPAs verified that both outlets have been made inaccessible to children in care. Both outlets have tape on them to prevent the sinks from being used and both outlets have a "Do Not Use" sign next to them.

Exit interview conducted, appeal rights were given, and report was reviewed with the Executive Director, Laetitia Medrano.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 11/27/2023 11:50 AM - It Cannot Be Edited


Created By: Ashley Curry On 11/27/2023 at 11:25 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: LES PETITS FRANCOPHONES
FACILITY NUMBER: 013423037

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2023
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 is not met as evidence by:
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The facility immediately made both sinks inoperable and inaccessible to children in care.
By 12/27/2023 the director will submit documentation that shows both outlets were permanently removed or repaired and retested.
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Based on interview and record review the licensee did not comply with the section cited above as outlets A and D 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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If requesting a waiver, please email LPA.

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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: 11/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/27/2023


LIC809 (FAS) - (06/04)
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