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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700526
Report Date: 02/15/2023
Date Signed: 02/15/2023 01:32:24 PM

Document Has Been Signed on 02/15/2023 01:32 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:EARLY YEARS LEARNING CENTER LLCFACILITY NUMBER:
015700526
ADMINISTRATOR:HAYES, LAURAFACILITY TYPE:
840
ADDRESS:1251 HOPYARD ROADTELEPHONE:
(925) 462-2202
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 0DATE:
02/15/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Laura Hayes TIME COMPLETED:
02:00 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 February 15, 2023 the Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with the Director, Laura Hayes for an unannounced Case Management - Lead Testing/Exceedance Visit . Present for today's inspection 0 children in care and 0 additional staff. The facility operates Monday - Friday 06:45 AM - 06:00PM. (Children start to arrive at 1:15pm for this component).

LPA and director toured the facility for heath and safety. A lead test sample was drawn at the facility on 12/12/2022. Lab results analyzed found that lead levels was greater than 5.5 ppb is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction.

This facility is being given a Type B citation for California Code of Regulations, Title 22, Division 12 Chapter 1 Regulation number: 101238(a) Buildings and Grounds. Please see LIC 809-D page for the citation. This sink has three (3) faucets in the school age classroom (pumas). Per director this sink is only used for washing hands. Per director, parents have been notified of the results via email on 12/19/2022. Two of faucet units will be replace and the middle faucet will be capped. This sink will be retested. Director will send photos and reported once completed. In addition, the children bring their own bottled water from home and when needed facility refills the water bottles in another classroom.

LPA viewed a plan of correction and the lead testing results posted in a public area. LPA obtain a copy of the report and photos.



Type B deficiency and plan of correction was documented and issued today, see LIC809D. A notice of site visit was given and must remain posted for 30 days. Appeal Rights Provided. Exit interview conducted and report was reviewed with the director, Laura Hayes
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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 02/15/2023 01:32 PM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 02/15/2023 at 01:14 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: EARLY YEARS LEARNING CENTER LLC
FACILITY NUMBER: 015700526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2023
Section Cited
CCR
101238(a)

1
2
3
4
5
6
7
101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
1
2
3
4
5
6
7
A Plan of Correction has already been issued by the facility. LPA observed that this sink is only used for hand washing. Children bring water bottles from home and refill as needed, water is supplied fom another classroom and/or water supply.
8
9
10
11
12
13
14
The facility Sample ID15700526A, B, C -The 3 facuet sink is located in the school age classroom and there was a Lead Action Level of Exceedance Response of more the 5.5ppb. This poses a potential health, safety and personal rights to the children in care.
8
9
10
11
12
13
14
Director must submit proof to LPA via email. The documentation must be submitted to LPA no later then 03/14/2023.
Email: Lorraine.Dacanay-Breaux@dss.ca.gov

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:Chandra Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 02/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/15/2023


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