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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213231
Report Date: 08/24/2023
Date Signed: 08/24/2023 03:51:56 PM


Document Has Been Signed on 08/24/2023 03:51 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:MURWOOD KEYSPOTFACILITY NUMBER:
070213231
ADMINISTRATOR:MELISSA SHERIDAN MULLERFACILITY TYPE:
840
ADDRESS:2050 VANDERSLICE AVENUETELEPHONE:
(925) 932-8118
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:120CENSUS: 86DATE:
08/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Melissa SheridanTIME COMPLETED:
04:15 PM
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On 8/24/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management inspection at Murwood Keyspot and met with Director, Melissa Sheridan. LPA explained the purpose of inspection which was a follow up investigation of an unusual incident that happened on 8/18/23 involving child injury.

LPA conducted staff and children interviews. Incident needs further investigation, No deficiency was cited today. This report was reviewed with Director, Melissa Sheridan.

A NOTICE OF SITE VISIT WAS GIVEN, MUST BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023
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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