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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209970
Report Date: 06/27/2019
Date Signed: 06/28/2019 05:01:08 PM

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:PLAY AND LEARNFACILITY NUMBER:
070209970
ADMINISTRATOR:LAGRAVE, CHRISTINAFACILITY TYPE:
840
ADDRESS:1898 PLEASANT HILL ROADTELEPHONE:
(925) 943-7007
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:42CENSUS: 18DATE:
06/27/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:T. MillerTIME COMPLETED:
11:40 AM
NARRATIVE
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3 – LPA, Hollie, met with Director, T. Miller, for the purpose of a Random Health and Safety Inspection for the School Age portion of this combination component. Present today are three staff and a total 19 children. Today, 18 of the 19 children left the facility with staff for a field trip to Larkey Park. There are no bodies of water or fire arms on the premises, per the Director. A tour of the facility was conducted. The child care center is sanitary and appears to be in good condition. Disinfectants, cleaning solutions poisons and other items that are dangerous to children, are inaccessible during this visit. Poisons are locked. Furniture and equipment appear to be in good condition and free of sharp, loose or pointed parts. Toilets and sinks are operable, sanitary and there is sufficient soap and paper products. The floors are clean and free of hazards during this visit. The kitchen/food preparation area is free of litter, rubbish and the evidence of rodents and other vermin. Storage containers for solid waste (garbage cans) including moveable bins, have tight-fitting covers that are kept on and are in good repair. Uncontaminated drinking water is readily available both indoors and outdoors. The Outdoor activity space surfaces are free of hazards today. The outdoor activity space surface is maintained in a safe condition and is free of hazards today. Playground equipment appears to be in good condition, free of sharp, loose or pointed parts. PLEASE SEE NEXT PAGE FOR CONTINUED REPORT
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: PLAY AND LEARN
FACILITY NUMBER: 070209970
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2019
Section Cited
CCR
101229.1b
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SIGN IN AND OUT 101229.1b
The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not being met.
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The Licensee will submit a written Plan of Action on how she will ensure parents sign children in and out of the facility. The written Plan of Action will be submitted to LPA no later than 07-01-19
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There are several parents who have either not sign their child(ren) in or out of the center as required which could pose a potential hazard to children in care.
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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: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: PLAY AND LEARN
FACILITY NUMBER: 070209970
VISIT DATE: 06/27/2019
NARRATIVE
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Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility remains fenced and gated. During this visit, LPA noted the sign in and sign out sheet had not been signed as required. The facility is in compliance with staff-child ratios. Snack and lunch menus are posted at least one week in advance and are visible by the child’s authorized representative. During this visit, the Carbon Monoxide Detector was viewed.

A sampling of Staff and Children’s records were reviewed for medical assessments and educational qualifications.

The licensee was reminded that all person’s 18 years of age or older, who works at the facility must be fingerprint cleared or associated to the facility PRIOR to being in the presence of day care children.

The licensee was encouraged to review Title 22 Regulations on line at CCLD.CA.GOV to stay informed and up to date on changes in laws or regulations as it relates to Child Care Centers. LPA discussed Provider Information Notices (PIN’s) with Licensee

LPA informed Licensee regarding the new Law requiring Child Care Centers and Family Day care Homes to obtain Mandated Child Abuse Reporting Training, (Assembly Bill 1207). LPA informed Director that training must be completed by all staff no later than March 30 2018 and verification must be kept on file and renewed every two years. The training is free of charge and can be taken online at http://www.madatedreporterca.com/

PLEASE SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: PLAY AND LEARN
FACILITY NUMBER: 070209970
VISIT DATE: 06/27/2019
NARRATIVE
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THE LICENSEE WAS INFORMED THAT IF THE FACILITY RECEIVES A DEFICIENCY, THE CORRECTION MUST BE SUBMITTED BY THE DATE PROVIDED ON THE DEFICIENCY NOTICE, OR A CIVIL PENALTY OF $100 PER DAY WILL BE ASSESSED TO THE FACILITY UNTIL THE DEFICIENCY IS CORRECTED. ADDITIONALLY, A REPEAT VIOLATION OF A DEFICIENCY WILL BE ASSESSED IN THE AMOUNT OF $250 AND $100 PER DAY UNTIL CORRECTED.

LPA reviewed the prescribed medication of several children in care during this visit. Prescriptions and medications are current and authorizations are on file.

THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS. LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING.

PLEASE SEE 809-D FOR TYPE B DEFICIENCY. DURING THIS VISIT, THE LPA NOTED THAT THE SIGN IN AND SIGN OUT IS NOT BEING SIGNED AS REQUIRED.

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4