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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423095
Report Date: 03/06/2024
Date Signed: 03/06/2024 11:23:41 AM

Document Has Been Signed on 03/06/2024 11:23 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:PRIDE IN LEARNING MONTESSORI SCHOOLFACILITY NUMBER:
013423095
ADMINISTRATOR:LEON, DARA E.FACILITY TYPE:
830
ADDRESS:1707 GOULDIN ROADTELEPHONE:
(510) 219-5189
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 15DATE:
03/06/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Dara LeonTIME COMPLETED:
10:30 AM
NARRATIVE
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On 3/6/24 Licensing Program Analysts (LPAs) Monica Mathur and Diana Campos conducted an unannounced Case Management - Lead Testing inspection at Pride In Learning Montessori School. LPAs met with Director, Dara Leon and explained the purpose of inspection.

Inspection and record review determined the infant program did not comply with Health & Safety Code 1597.16(a)(1) which states a licensed child day care center 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.

As of 3/6/24 the facility has not yet completed testing water for lead contamination. This poses a potential risk to health and safety of children in care. Deficiency is cited on 809-D page. Director was informed if they are unable to meet the correction due date, she must submit a written request to extend the deadline stating reason/s for request.

Exit interview was conduced with Director, Dara Leon. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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 03/06/2024 11:23 AM - It Cannot Be Edited


Created By: Monica Mathur On 03/06/2024 at 09:40 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: PRIDE IN LEARNING MONTESSORI SCHOOL
FACILITY NUMBER: 013423095

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2024
Section Cited
HSC
1597.16(a)(1)

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1597.16(a)(1) A licensed child day care center 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 [...]. This requirement is not met as evidenced by:
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By POC Due Date 4/8/24 Director agreed to complete water lead testing and submit related documents to Licensing Office within 2 weeks of testing. LIC9275, LIC9276, LIC999
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Per record review, as of 3/6/24 facility has not tested water for lead contamination. This poses a potential risk to health and safety of children 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:Sherelle Johnson
LICENSING EVALUATOR NAME:Monica Mathur
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024


LIC809 (FAS) - (06/04)
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