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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212087
Report Date: 01/08/2020
Date Signed: 01/08/2020 11:10:38 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:DIABLO VALLEY COLLEGE DEVELOPMENTAL CHILDREN'S CTRFACILITY NUMBER:
070212087
ADMINISTRATOR:REBECCA THOMSONFACILITY TYPE:
830
ADDRESS:321 GOLF CLUB ROADTELEPHONE:
(925) 685-1230
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:20CENSUS: 0DATE:
01/08/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:M. MintyTIME COMPLETED:
11:30 AM
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3-LPA, Hollie met with staff member, Ms. Minty, for the purpose of a Random Health and Safety Inspection. A tour of the facility was conducted. There are no bodies of water or fire arms at the facility, per Ms. Minty. The school is closed for Winter Break, therefore, there are no children in care.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible during this visit. Furniture and equipment are age appropriate and appear to be in good condition, free from sharp, loose, pointed parts or small choking articles. The surface of the outdoor activity space is free of hazards. All storage containers for solid waste, (garbage bins) have tight fitting covers that are kept on and in good repair. There is cushioning material under moveable play structures. The licensee takes measures to keep the facility free of flies, other insects and rodents. The facility has age-appropriate furniture and equipment including but not limited to cribs, cots or mats; changing tables and feeding chairs. 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: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
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: DIABLO VALLEY COLLEGE DEVELOPMENTAL CHILDREN'S CTR
FACILITY NUMBER: 070212087
VISIT DATE: 01/08/2020
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The licensee is aware that baby walkers, bouncers, exersaucers and jumpers are not allowed in licensed care. The facility has sufficient infant napping equipment that meets Title 22 Regulation 101439.1(a)-(f). The facility was provided documentation related to Safe Sleeping Concepts. LPA discussed at length the concepts regarding sleeping for infants up to the age of one.

The facility has indoor space for infants that are physically separate from space used by the preschool or school age components. The child care center appears to be in good condition that ensures the safety and well-being of children, employees and visitors. The facility has a functioning carbon monoxide detector. Bottles, dishes and containers of food brought by the infants authorized representative are labeled with the infants name and current date. While in use, the infant changing tables are placed within arms reach of a sink.

The facility is aware that all person’s 18 years of age or older, must be fingerprint cleared or associated to the facility, PRIOR to being in the presence of children.

The facility is not caring for infants that require Incidental Medical Services. 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: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
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: DIABLO VALLEY COLLEGE DEVELOPMENTAL CHILDREN'S CTR
FACILITY NUMBER: 070212087
VISIT DATE: 01/08/2020
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Licensee was reminded that anyone employed at the facility, must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. Licensee was encouraged to frequently visit our website at WWW.CCLD.CA.GOV to download child care forms, licensing regulations and updates. The Director is encouraged to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days. All Type A violations must be corrected by the due date. Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child’s file to be reviewed by licensing. 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. As a result of this visit there are no deficiencies cited.
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
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: DIABLO VALLEY COLLEGE DEVELOPMENTAL CHILDREN'S CTR
FACILITY NUMBER: 070212087
VISIT DATE: 01/08/2020
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SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4