070213156-2-7-2023-02-CC-MMAR-CNU2DM-20230207161833

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070213156
Report Date: 02/07/2023
Date Signed: 02/07/2023 04:18:48 PM

Document Has Been Signed on 02/07/2023 04:18 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:	PARKMEAD KEYSPOT		FACILITY NUMBER:	070213156
ADMINISTRATOR:	FONTANILLA, GEOFFREY		FACILITY TYPE:	840
ADDRESS:	1920 MAGNOLIA WAY		TELEPHONE:	(925) 939-1543
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94595
CAPACITY:	150	CENSUS: 33	DATE:	02/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Geoffrey Fontanilla		TIME COMPLETED:	04:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/7/23 at 1:45 pm Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Required Annual inspection at Parkmead Keyspot (school age program) located in the premises of Parkmead Elementary School. LPA met with Director, Geoffrey Fontanilla and explained the purpose of today's inspection. LPA was granted the inspection authority to enter the facility. Facility's operating days and hours are Monday to Friday from 7am-6pm in 2 Portable Rooms. The physical plant was inspected. LPA toured the premises with the Director. Indoor space: Portable 1 (TK-K kids): 6 children, S4 and 2 other staff Portable 2 (grades 1-5): no children during initial phase of inspection. Children started coming in at 2:30p Outdoor Yard: 25 children, 3 staff (S1, S2, S3) LPA checked for staff criminal record clearances. It was determined that 4 staff did not have any clearances, were not associated to facility or any other licensed childcare facility. All staff have been working here for at least 1 year. Staff 1 (S1): Mark Reubelt Staff 2 (S2): Helena Froines Staff 3 (S3): Elmira Bassam Staff 4 (S4): Kristin Wingfield This poses an immediate risk to health and safety of children in care. Type A deficiency cited for 4 staff with civil penalties of $2,000 total. $100 per day for maximum 5 days ($500) per person = $2,000 total for 4 staff Director stated staff were given Live Scan forms and assumed it was completed. Director did not check their clearance and association prior to initial presence in the facility. He states he is unaware of Guardian system and does not have a facility account set up. LPA provided information for setting up account. 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.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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: PARKMEAD KEYSPOT	FACILITY NUMBER: 070213156
	VISIT DATE: 02/07/2023

NARRATIVE

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Since 3 uncleared and unqualified staff were present in the outdoor playground, it also put them OUT OF RATIO supervising 25 children.

The classrooms, restrooms, food storage areas and spaces accessible to children were inspected. Disinfectants, cleaning solutions, poisons and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Storage areas for poisons were locked and medications were kept in a safe place inaccessible to children. 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. Facility does not provide any snack/food and children bring their own food. 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. All toilets, hand washing areas were observed to be in safe and sanitary operating condition. All materials and surfaces accessible to children appeared to be toxic free.
Outdoor Space: Outdoor playground 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. There were no bodies of water observed. Drinking water is readily available to children.
File Review: Children sign in and out procedures and logs were reviewed. All children were signed in and in compliance with the school age sign in/out procedures. A sample of Children and Staff files was taken for review.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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: PARKMEAD KEYSPOT	FACILITY NUMBER: 070213156
	VISIT DATE: 02/07/2023

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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 violations were observed. Citations were issued on pages 809D. Exit interview conducted and report was reviewed with Director, Geoffrey Fontanilla. A NOTICE OF SITE VISIT was given and must remain posted for 30 days.

Director was informed facility will be put on increased inspections and a Non-Compliance Conference will be scheduled soon.

TYPE A
LPA Mathur informed Director Geoffrey Fontanilla that this report dated 2/7/23 with 2 Type A citations shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. LPA Mathur informed Director to provide a copy of this licensing report dated 2/7/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/07/2023 04:18 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: PARKMEAD KEYSPOT	FACILITY NUMBER: 070213156
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101170(e)(1)

Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. 4 staff present at the facility, providing care/supervision do not have fingerprint clearances. They have been working at least 1 year, no associations to any other licensed childcare facility. Staff 1 (S1): Mark Reubelt Staff 2 (S2): Helena Froines Staff 3 (S3): Elmira Bassam Staff 4 (S4): Kristin Wingfield. This poses an immediate health, safety or personal rights risk to persons in care. Civil penalties of $2,000 assessed today.
	POC Due Date: 02/08/2023
	Plan of Correction
1 2 3 4	By end of POC Due Date 2/8/23 Director agreed to submit written plan on his understanding of the regulation and how they will stay in compliance. Director stated all 4 staff left teh facility immediately to get their Live Scans done today.

Type A

Section Cited

CCR

101516.5(b)

Teacher-Child Ratio

(b) There shall be a staffing ratio of one teacher and one aide present to every 28 children in attendance. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. S1 who is not fully qualified and does not have criminal record clearance, was supervising 2 uncleared Aides (S2, S3) in the outdoor playground. There were 25 children present which put them all out of ratio which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 02/08/2023
	Plan of Correction
1 2 3 4	By end of POC Due Date 2/8/23 Director agreed to submit written plan on his understanding of the regulation and how they will stay in compliance.

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 Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/07/2023 04:18 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: PARKMEAD KEYSPOT	FACILITY NUMBER: 070213156
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. Director states facility did not get water lead testing done yet. This poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/07/2023
	Plan of Correction
1 2 3 4	By 2/14/23 Director will submit written statement on how they will come into compliance. By 3/7/23 Director agreed to initiate water outlets testing for lead exposure. LPA provided copy of PIN 21-21.1-CCP

Type B

Section Cited

CCR

101216.2(e)

Teacher Aide Qualifications and Duties

(e) An aide shall work only under the direct supervision of a teacher. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. S1 who is not fully qualified was supervising 2 other Aides S2, S3 in the outdoor playground. which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/14/2023
	Plan of Correction
1 2 3 4	Director agreed to submit written statement on how they will come into compliance.

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 Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC809 (FAS) - (06/04)

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