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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209624
Report Date: 09/21/2023
Date Signed: 09/21/2023 02:07:16 PM


Document Has Been Signed on 09/21/2023 02:07 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:WOODBRIDGE CHILDREN'S CENTER - LAS JUNTASFACILITY NUMBER:
070209624
ADMINISTRATOR:MCKINZIE, MICHELLEFACILITY TYPE:
840
ADDRESS:4105 PACHECO BOULEVARDTELEPHONE:
(925) 228-0672
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:104CENSUS: 0DATE:
09/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:DEBORAH SPRAGUETIME COMPLETED:
02:15 PM
NARRATIVE
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8:15AM- -Licensing Program Analyst Tasha Alexander met today with center director Deborah Sprague for an UNANNOUNCED 1 YEAR/REQUIRED inspection. This morning there are no school age children present. The facility operates Monday through Friday from 7am to 6pm. LPA toured the classrooms, kitchen and playground for a Health and Safety inspection. The facility is located on Las Juntas Elementary School grounds.

The facility has age appropriate furniture and play equipment which appears to be in good repair. The indoor and outdoor activity space appeared to be in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during today's inspection. The sinks were observed to be in operable condition. The floors are free of tripping hazards. The facility provides snacks. The kitchen was observed to be clean and free of evidence of rodents. Snacks are protected against contamination. All storage containers for solid waste have tight fitting lids that are in good repair. Drinking water is available both indoors and outdoors. Children bring/utilize their own water bottles from home. Menus are posted inside of each classroom and is visible for parents to review. Outdoor activity space and playground equipment was observed to be safe and free of hazards with appropriate material to absorb falls. The playground is separate from the elementary school playground. The facility uses patio umbrellas on the playground to provide shaded areas for children.

The facility is within ratio today. LPA verified that at least one person has current CPR/1ST AID training cards. The sign in/out sheets were also reviewed today.

continued on 809-c
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2023
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: WOODBRIDGE CHILDREN'S CENTER - LAS JUNTAS
FACILITY NUMBER: 070209624
VISIT DATE: 09/21/2023
NARRATIVE
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A sample of children's records were reviewed. Files reviewed contained emergency information and current immunization records. Staff records reviewed have required health screenings. Teachers present meet qualification requirements.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA briefly discussed the safe sleep regulations with licensee and provided the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. The licensee stated that she does not plan to provide care for infants.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
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: WOODBRIDGE CHILDREN'S CENTER - LAS JUNTAS
FACILITY NUMBER: 070209624
VISIT DATE: 09/21/2023
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

Please see attached 809-D for citation

An exit interview was conducted and this report was reviewed with the licensee, (first/last name). Appeal rights were provided.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/21/2023 02:07 PM - 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: WOODBRIDGE CHILDREN'S CENTER - LAS JUNTAS
FACILITY NUMBER: 070209624

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
A review of records revealed that Teacher Irene Cardinale does not have proof of measles vaccine in file or proof of up to date flu vaccine
POC Due Date: 10/05/2023
Plan of Correction
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Licensee will have Ms. Irene obtain her immunization records for measles and flu vaccines and submit a copy to community care licensing by 10/5/23
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
A review of records revealed Aide Savanna Cardenas does not have the mandated reporter certificate in file
POC Due Date: 10/05/2023
Plan of Correction
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Licensee will have Ms. Savanna complete the mandated reporter training and submit a copy of the certificate to community care licensing by 10/5/23
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: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2023
LIC809 (FAS) - (06/04)
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