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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070207929
Report Date: 06/16/2021
Date Signed: 06/16/2021 11:24:03 AM

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:WALNUT CREEK CHRISTIAN ACADEMYFACILITY NUMBER:
070207929
ADMINISTRATOR:SONIA COOPERFACILITY TYPE:
850
ADDRESS:2336 BUENA VISTA AVETELEPHONE:
(925) 935-1587
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:75CENSUS: 32DATE:
06/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maureen SantosTIME COMPLETED:
11:45 AM
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On 06/16/21 at 9:00am, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an announced case management inspection. LPA met with Maureen Santos, the head teacher. There are 32 children and 5 staff present in the facility today. The normal hours of operation are Monday-Friday 8:00am-6pm. An application was received to add one additional room on the ground level, Classroom #A11. There are no changes to the bathrooms and outdoor space that were previously licensed. LPAs toured the new ground level classroom #A11 and remeasured all licensed classrooms; Classrooms #A1,#A2,#A3,#A21 and 6 toilets and 6 sinks to conduct a health and safety inspection, and completed the following measurements:
INDOORS: 3503.59 square feet = 100 children
OUTDOORS: 5429.68 square feet = 72 children
All other indoor and outdoor measurements remain the same. A fire clearance was received from the Contra Costa County Fire Protection Department on 05/24/21.

LPAs observed that there is sufficient heating, lighting and ventilation in the classrooms, and the classroom floors and surfaces are clean and free of hazards. The rooms have an ample supply of age appropriate furniture, toys and equipment which appear to be in good condition. LPAs observed outdoor play areas, they are fully fenced and have amply supply of age appropriate activities, equipment, and furniture and appears in safe condition. LPAs observed ample amount of shade for children. Areas around high climbing equipment, swings and slides have tan bark to absorb falls. LPAs did not observe any bodies of water, hazardous items or toxins that would be accessible to children. LPAs observed operating sinks and covered waste cans.
A dated waiver should be requested for the out door play areas no more than 72 children out at any given time.

The rooms are equipped with fully charged 3A40BC fire extinguishers, carbon monoxide detectors and centralized smoke detection systems. The facility has a working telephone and first aid supplies.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
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: WALNUT CREEK CHRISTIAN ACADEMY
FACILITY NUMBER: 070207929
VISIT DATE: 06/16/2021
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The new ground floor classroom #A11, and license for a capacity of 75 children will be made part of the license, effective today 06/16/21, and can be used when the facility is ready. There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site inspection was provided to the head teacher, and an exit interview was conducted.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
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