070203871-6-14-2023-02-CC-JSAI-CSSQQH-20230614122223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070203871
Report Date: 06/14/2023
Date Signed: 06/14/2023 12:22:29 PM

Document Has Been Signed on 06/14/2023 12:22 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	ST. MICHAELS EPISCOPAL DAY PRESCHOOL		FACILITY NUMBER:	070203871
ADMINISTRATOR:	WILSON, COLLEEN		FACILITY TYPE:	850
ADDRESS:	2925 BONIFACIO STREET		TELEPHONE:	(925) 685-8862
CITY:	CONCORD	STATE: CA	ZIP CODE:	94519
CAPACITY:	90	CENSUS: 67	DATE:	06/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Director, Colleen Wilson		TIME COMPLETED:	12:40 PM

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Licensing Program Analyst (LPA), Jyoti Saini met with director, Colleen Wilson for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the staff. In addition to the director, there are 67 children and 10 staff present today. The facility operates Monday - Friday from 6:15 AM to 6:00PM out of the Turtles, Cubs, Flamingos, Ducklings, Owls, Frogs, and Tigers classrooms. The facility was inspected indoor and outdoor today for health and safety hazards and the following was observed. There are no bodies of water, firearms, or weapons on the premises. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. The bathrooms have age-appropriate faucets and toilets in working condition. A first aid kit and a first aid backpack are available. The outdoor play area is fenced for supervision. The director understands that there can never be more than 58 children at any time in the outdoor playground. Shade is provided by way of a large canopy The facility provides Lunch and snacks, and children bring their own water bottles, and the facility refills them when needed. LPA reviewed storage of food and reminded facility representative that all food must be in original packaging or labeled with expiration date. Medications are stored on a high shelf which is inaccessible to children in care. The menu is posted in a visible location and is dated for the entire month. LPA did not observe any dangerous items accessible today. The center also conducts and documents fire and earthquake drills once every month and the logs show that drills were conducted on 5/19/2023.

LPA reviewed sign-in and out sheet. The center has a complete record of sign-in/out sheets by an authorized pick-up person. There is a working fire alarm system in the facility. The Facility has a working smoke and a fully charged fire extinguisher, and a working telephone available. All the Children records reviewed were complete. All children have a record of emergency identification information on file. All staff has a criminal record clearance on file. The opening and closing staff have a current Pediatric First Aid/CPR certificate on file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site always or present during off-site activities (field trips). Facility roster was reviewed, and copy was obtained.

see next page...

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. MICHAELS EPISCOPAL DAY PRESCHOOL	FACILITY NUMBER: 070203871
	VISIT DATE: 06/14/2023

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During inspection,

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. This facility does provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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.

No deficiencies were cited today however technical violations were given.

A notice of site visit was given and must remain posted for 30 days

Exit interview conducted and report was reviewed with the director, Colleen Wilson.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023

LIC809 (FAS) - (06/04)

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