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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070210571
Report Date: 10/04/2024
Date Signed: 10/04/2024 02:56:36 PM


Document Has Been Signed on 10/04/2024 02:56 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:LARSON'S SCHOOL-AGE CHILDREN CENTERFACILITY NUMBER:
070210571
ADMINISTRATOR:STEPHANIE VIERRAFACILITY TYPE:
840
ADDRESS:920 DIABLO ROADTELEPHONE:
(925) 837-4238
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:31CENSUS: 14DATE:
10/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Stephanie VierraTIME COMPLETED:
03:00 PM
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On 10/04/2024 at 12:10 PM, Licensing Program Analysts (LPAs) Christina Watts and Mario Caro conducted a Case Management Inspection for Larson's School Age Children Center. LPA's met with Director, Stephanie Vierra and Assistant Director Kelley Palmer. LPA's explained the purpose of today's inspection. During today's inspection, there were 14 school age children in care with 4 staff in 2 rooms. Director stated there were 30 school age children enrolled. All staff caring and supervising children have Criminal Record Clearance.

LPA's are following up on a self reported Unusual Incident Repor. LPA toured the facility, observed classrooms, reviewed files, conducted interviews and obtained relevant documents. Based on information obtained, it was determined that facility was in compliance with California Code of Regulation, Title 22.

During today's inspection, there was no violations observed.

Exit interview conducted and report was reviewed with the Director, Stephanie Vierra and Assistant Director, Kelley Palmer. A Notice of Site Visit was given and must remain posted for 30 consecutive days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2024
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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