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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213244
Report Date: 01/13/2020
Date Signed: 01/13/2020 02:16:23 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:CALVARY CHRISTIAN SCHOOLFACILITY NUMBER:
070213244
ADMINISTRATOR:MULLENS, AMYFACILITY TYPE:
850
ADDRESS:3425 CONCORD BLVD.TELEPHONE:
(925) 682-6728
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:92CENSUS: 42DATE:
01/13/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Amy MullensTIME COMPLETED:
02:25 PM
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On 1/13/20 at 10am, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced case management inspection. LPA met with the director, Amy Mullens. There were 42 children and 7 additional staff members also present. An application, to change the capacity of the preschool license with toddler option, was received by Licensing. The preschool component with toddler option will be part of this combination center which also has an infant component. There is also an Elementary School and High School on site. The preschool component and toddler option will operate out of 3 classroom spaces, which are divided into smaller classrooms. The center hours will be Monday thru Friday 7am-6pm. LPA toured the classrooms and playground space that will be used by the preschool and toddler components, to conduct a health and safety inspection, and the measurements are as follows:
INDOORS: 3066.96 square feet= 88 children
OUTDOORS: 6335.25 square feet= 84 children
A fire clearance for a total capacity of 82 preschool/toddler age children was received from the Contra Costa County Fire Protection Department on 12/23/19.

LPA did not observe any bodies of water, hazardous items or toxins accessible to children today. All toilets and sinks are in sanitary and operational condition today. A random inspection was completed on 2/27/19. LPA reminded the director that the mandated reporter training needs to be completed by all staff, and renewed every 2 years at www.mandatedreporterca.com. The director was reminded that commingling between the programs is not allowed. LPA reminded the director that staff need to have a fingerprint clearance and be associated to this facility, prior to employment and working with children, or a civil penalty can be accessed. LPA reviewed the reporting requirements for injuries requiring medical attention and unusual incidents. LPA reminded the owner that the toddler option is for children 18-36 months, with written permission from the parents in the child's file.

The center will be licensed for 72 preschool age children and 10 toddlers. There are no deficiencies being cited today. This report will remain on file for 3 years. A notice of site inspection was provided, and the director was reminded to have it posted for 30 days. An exit interview was conducted with director.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
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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