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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209623
Report Date: 10/03/2024
Date Signed: 10/07/2024 01:52:31 PM

Document Has Been Signed on 10/07/2024 01:52 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WOODBRIDGE CHILDREN'S CENTER - JOHN SWETTFACILITY NUMBER:
070209623
ADMINISTRATOR/
DIRECTOR:		BARRON, BRITTANYFACILITY TYPE:
840
ADDRESS:4955 ALHAMBRA VALLEY ROADTELEPHONE:
(925) 228-7540
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY: 125TOTAL ENROLLED CHILDREN: 125CENSUS: 0DATE:
10/03/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:BRITTANY BARRONTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On September 3, 2024 Licensing Program Analyst (LPA) Tasha Alexander conducted an UNANNOUNCED CASE MANAGEMENT inspection regarding a lead exceedance at the facility. LPA met with center director Brittany Barron and explained the purpose of today's inspection. Present today are 4 staff members.

LPA reviewed the lead exceedance documents. The lead results for outlets B and D located in classrooms A2 and A3 exceeded 5.5 PPB on 8/20/2024. Per director, the facility has replaced the fixtures and is in the process of completing the 3 weeks of flushing before retesting can be done. To prevent access, the faucets have been temporarily bagged and taped. Drinking water is provided from classroom A1 and classroom A4, and a filtered water pitcher in the refrigerator. During today's inspection, LPA verified by inspecting the locations.

Please see the attached 809-d for citation.

An exit interview was conducted with center director Brittany Barron.
A notice of site visit was given and must be posted for 30 days.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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 10/07/2024 01:52 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 10/03/2024 at 04:01 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: WOODBRIDGE CHILDREN'S CENTER - JOHN SWETT
FACILITY NUMBER: 070209623

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2024
Section Cited

101700.3(b)(1)

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Lead Testing Written Directive: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement has not been met as evidenced by:
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The facility has replaced the fixtures and began the required flushing before retesting can be done. The faucets have been temporarity bagged and taped off to prevent access to children in care. Director will submit results to CCL once the facility retests the faucets.
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a review of the center's lead testing results for outlets(faucets) B & D that tested above 5.5 ppb which poses a potential risk to the health and safety of the 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:Monica Mathur
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2024


LIC809 (FAS) - (06/04)
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