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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407484
Report Date: 02/09/2023
Date Signed: 02/09/2023 11:20:48 AM

Document Has Been Signed on 02/09/2023 11:20 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:BRIGHT FUTURES GROWTH AND DEVELOPMENT CENTERFACILITY NUMBER:
073407484
ADMINISTRATOR:BEAUFORD, SIMONEFACILITY TYPE:
850
ADDRESS:1060 MANOR BLVDTELEPHONE:
(510) 758-4898
CITY:EL SOBRANTESTATE: CAZIP CODE:
94803
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 15DATE:
02/09/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:BEAUFORD, SIMONETIME COMPLETED:
11:35 AM
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On 02/09/23 at 08:35 AM Licensing Program Analyst (LPA) Nyeesha Blount conducted a unannounced Case management for Lead Testing/ exceedance at Bright Futures Growth and Development Center LPA met with Director Simone Beauford and explained the purpose of today's inspection.

LPA toured the facility for a health and safety check. The water supply in Preschool classroom Room 11 faucet sink, Room 14 drinking fountain, Dance Room 16 faucet sink and drinking fountain exceeded the acceptable amount of lead allowed in a child care center. The director stated that facility has not used the drinking fountain since 11/23/22 and will be permanently ceased. Both outlets are inaccessible to children in care.

The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Simone Beauford..
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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 02/09/2023 11:20 AM - It Cannot Be Edited


Created By: Nyeesha Blount On 02/09/2023 at 10:33 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: BRIGHT FUTURES GROWTH AND DEVELOPMENT CENTER
FACILITY NUMBER: 073407484

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2023
Section Cited

101700.3

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Licensee shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.
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The facility will permanently cease outlet or remediate by replacing the outlet and retest to by POC date of March 9, 2023.
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Based on record review the licensee did not comply with the section cited above as there was Drinking fountains in Rooms 14, 16 and Faucet in Rooms 11, 16 that had a lead exceedance, which poses a potential Health and Safety risk to persons 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:Mayla Mendoza
LICENSING EVALUATOR NAME:Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023


LIC809 (FAS) - (06/04)
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