070200303-5-17-2023-02-CC-MMAR-CRWPMN-20230517112637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070200303
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:26:59 AM

Document Has Been Signed on 05/17/2023 11:26 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:	GRACE COOPERATIVE PRE-SCHOOL		FACILITY NUMBER:	070200303
ADMINISTRATOR:	MARTIN, JOY		FACILITY TYPE:	850
ADDRESS:	2100 TICE VALLEY BLVD		TELEPHONE:	(925) 421-0150
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94595
CAPACITY:	24	CENSUS: 15	DATE:	05/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Joy Martin		TIME COMPLETED:	11:45 AM

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 5/17/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Required 1-Year Inspection at Grace Cooperative Preschool. LPA met with Director, Joy Martin and explained the purpose of today's inspection. This a Parent Coop Program, located in the premises of Grace Presbyterian Church. Facility's operating days/hours are Monday-Friday from 9am-11:30am in Rooms 10 and 11. Room 9 is used for music class and hand washing at morning check-in. The physical plant was inspected, and LPA toured the premises with the Director. INDOOR SPACE: Classrooms and restroom were inspected. There were 15 children with 3 staff and coop parents present. Facility was in compliance with adult child ratios during inspection. Children were engaged in various activities under the visual supervision of the adults. Disinfectants, cleaning solutions, and other items dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restroom for children was observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Trash cans for solid waste had tight-fitting covers on and were in good repair. LPA observed a working Fire extinguisher, Smoke and Carbon Monoxide Detectors. Director states they have not conducted a Fire/Safety drill in more than 6 months. LPA discussed requirement to conduct and log drill at least once every 6 months. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in parked vehicles. Required postings were observed to be posted. Facility has completed mandatory Water Lead Testing. OUTDOOR SPACE was inspected and observed to be fenced and safe. Play equipment was maintained in good condition and free of hazards. Shade is provided and there were no bodies of water observed. Drinking water is readily available to children. Director stated they are scheduled to install a large play structure during their summer closure. LPA reminded they need to inform CCLD office before and after structure is installed and a case management inspection will be conducted once installed.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GRACE COOPERATIVE PRE-SCHOOL	FACILITY NUMBER: 070200303
	VISIT DATE: 05/17/2023

NARRATIVE

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FILE REVIEW: File review showed staff MARGARET FISET has been working here since 1999 but her clearance is still "in process". Staff has DOJ, FBI clearance but not for Child Abuse Index. Director stated she was unaware about this and did not have access to Guardian fingerprint system account. LPA asked Director to have staff re-fingerprinted today. Children sign in/out procedures and logs were reviewed. Sample of children and staff files was taken for review. There was at least one teacher with current certification in Pediatric CPR/First Aid present at the facility during inspection. Children's Roster was reviewed.
Website for Guardian: www.guardian.dss.ca.gov

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

In the areas that were evaluated, regulatory violations were observed. Civil penalty of $100 was assessed today($100 per day for 1 day). See page 809D.
Exit interview conducted and report was reviewed with the Director, Joy Martin. A NOTICE OF SITE VISIT was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/17/2023 11:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GRACE COOPERATIVE PRE-SCHOOL	FACILITY NUMBER: 070200303
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/17/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101174(d)

Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. Director stated they have not conducted a fire/safety drill in more than 6 months which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/24/2023
	Plan of Correction
1 2 3 4	By POC Due Date 5/24/23 Director agreed to conduct a safety drill with children/volunteers and submit a copy of fire drill log to CCLD.

Type B

Section Cited

CCR

101170(e)(1)

Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. Staff MARGARET FISET has been working since 1999, her clearance is "in process" status and does not have complete clearance. Director was unaware of this and does not have access to Guardian system. Staff will get Live Scan done again today.Civil penalty of $100 is assessed for 1 day. This poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/18/2023
	Plan of Correction
1 2 3 4	Staff will re-fingerprint today. Director shall submit proof of Live Scan by end of 5/18/23 and follow up check with CCL office for clearance in a week and ensure staff is cleared/associated before staff returns to work.

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	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC809 (FAS) - (06/04)

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