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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209907
Report Date: 02/02/2023
Date Signed: 02/02/2023 12:38:50 PM


Document Has Been Signed on 02/02/2023 12:38 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:CONTRA COSTA CHRISTIAN PRESCHOOLFACILITY NUMBER:
070209907
ADMINISTRATOR:PORTO, CORDELIAFACILITY TYPE:
850
ADDRESS:2721 LARKEY LANETELEPHONE:
(925) 934-4964
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:40CENSUS: 36DATE:
02/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maria Lyvette LoyolaTIME COMPLETED:
01:00 PM
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On 2/2/23 at 9:15 am Licensing Program Analyst (LPA) Monica Mathur conducted an Unannounced Required Annual Inspection at Contra Costa Christian Preschool. The program is located in the premises of Contra Costa Christian Schools (K-12). LPA met with Director, Maria Lyvette Loyola and explained the purpose of today's inspection. Facility's operating days and hours are Monday to Friday from 7:30a-6:00p in 2 Rooms (Preschool room 8 & Pre-K room 9). Present in the facility were:
Preschool room 8: 12 children, 2 staff (fully qualified)
Pre-K room 9: 11 children, 2 staff (fully qualified)
Outdoor Yard: 13 children, 2 staff (fully qualified)
The physical plant was inspected and LPA toured the premises with Director.
Indoor space: Classrooms, restrooms were inspected. Facility was in compliance with teacher child ratios during inspection. Children were engaged in various activities under the visual supervision of the teachers. 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. Restrooms for children were 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. Log shows that the last Fire Drill was conducted in January 2023. 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.
Outdoor space was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Shade is provided and there were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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: CONTRA COSTA CHRISTIAN PRESCHOOL
FACILITY NUMBER: 070209907
VISIT DATE: 02/02/2023
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File Review: Children sign in and out procedures and logs were reviewed. A sample of children and staff files was taken for review. All files contained required documents. All staff have current certifications in Mandated Reporter, 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.

Facility serves AM and PM snack and children bring their own lunch from home. LPA did not observe a snack menu posted. Director and staff states they don't have a predetermined menu. There is a stocked food cabinet and refrigerator and staff preparing snack chooses at least 2 food items for the day. Parents are not provided snack menu in advance.

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

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.

Director stated center has not been tested for Lead. LPA reminded Lead Testing of water outlets was required to be completed and submitted before January 1, 2023. Director stated she was unaware of this requirement and did not have any information about lead testing. LPA provided a copy of latest PIN 21-21.1-CCLD. Director stated she will get lead testing completed soon.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 02/02/2023 12:38 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: CONTRA COSTA CHRISTIAN PRESCHOOL

FACILITY NUMBER: 070209907

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(6)
Food Service
(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

This requirement is not met as evidenced by:
Deficient Practice Statement
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LPA did not observe snack menus posted. Director states they forgot to post it beginning Jan 2023. Staff states they don't have a predetermined menu and they choose snack for the day by rotating food items from the food cabinet daily. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/09/2023
Plan of Correction
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Director agreed to submit
1. written statement for understanding of regulation and plan for coming into compliance
2. photo of menu posted
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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 JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5


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: CONTRA COSTA CHRISTIAN PRESCHOOL
FACILITY NUMBER: 070209907
VISIT DATE: 02/02/2023
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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 violation was observed. Citation issued on page 809D.

Exit interview conducted and report was reviewed with Director, Maria Lyvette Loyola. A NOTICE OF SITE VISIT was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5