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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070203871
Report Date: 10/30/2024
Date Signed: 11/04/2024 10:50:07 AM

Document Has Been Signed on 11/04/2024 10:50 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ST. MICHAELS EPISCOPAL DAY PRESCHOOLFACILITY NUMBER:
070203871
ADMINISTRATOR/
DIRECTOR:
WILSON, COLLEENFACILITY TYPE:
850
ADDRESS:2925 BONIFACIO STREETTELEPHONE:
(925) 685-8862
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: DATE:
10/30/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Colleen WilsonTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Manager (LPM) Sherelle Johnson and Licensing Program Analyst (LPA) Cherie Acosta conducted an office meeting with Director Colleen Wilson.
The meeting was held in response to an incident that occurred at the facility where a teacher threw a shoe at a child.

During the meeting director informed Community Care Licensing (CCL) of the steps being taken to ensure the are no future incidents of this nature. Staff involved in the incident was put on administrative leave while center conducted an internal investigation. Staff involved has worked at the facility for many years with out incident. Since staff member has returned to work, they have been placed in a different classroom with additional support and is continuously being supervised by the director. Staff member has received training since the incident and is scheduled to receive additional training. The facility has hired new/additional staff for additional support.

Director shall provide the following to CCL by 11/30/24:
-Proof of staff training
-Minutes of staff/parent meeting held in regards to the incident if any


Exit interview and report reviewed Colleen Wilson
Sherelle JohnsonTELEPHONE: (510) 622-2592
Cherie AcostaTELEPHONE: (510) 856-6376
DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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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