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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408911
Report Date: 05/12/2023
Date Signed: 05/12/2023 11:27:30 AM

Document Has Been Signed on 05/12/2023 11:27 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:GUIDING LIGHT MONTESSORI, LLCFACILITY NUMBER:
073408911
ADMINISTRATOR:STALEY, JUSINTAFACILITY TYPE:
850
ADDRESS:2041 OAK PARK BOULEVARDTELEPHONE:
(925) 954-1154
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 28DATE:
05/12/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Justina StaleyTIME COMPLETED:
11:45 AM
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On 5/12/23 Licensing Program Analyst (LPA) Monica Mathur met with Licensees, Justina and J.D. Staley to conduct a Case Management inspection for the Lead Testing results at Center.

LPA conducted an inspection and toured the premises with Justina. It was indicated that there was at least one (1) outlet that exceeded the Action Level established by the State for exposure. It is located in the outdoor play ground, used for hosing down the play ground. Justina stated this outlet was never used by children for drinking or food prep. Children have always used water from other outlets which did not have exceedance. Licensee stated they plan to keep it decommissioned and have it out of service immediately.

The lead exceedance did not pose a health and safety risk to children in care, therefore no deficiency is cited today. Present today were 28 children with both Licensees and 2 staff members.

Exit interview conducted and report was reviewed with the Licensee, Justina Staley. A Notice of Site Visit was given and must remain posted for 30 days..

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2023
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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