<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213244
Report Date: 05/24/2023
Date Signed: 05/24/2023 12:12:35 PM


Document Has Been Signed on 05/24/2023 12:12 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:CALVARY CHRISTIAN SCHOOLFACILITY NUMBER:
070213244
ADMINISTRATOR:MULLENS, AMYFACILITY TYPE:
850
ADDRESS:3425 CONCORD BLVD.TELEPHONE:
(925) 682-6728
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:82CENSUS: 49DATE:
05/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Amy MullensTIME COMPLETED:
11:15 AM
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 05/24/2023 at 10:30 AM, Licensing Program Analyst (LPA) Christina Watts conducted a Plan of Correction (POC) inspection at Calvary Christian School. LPA met with Director, Amy Mullens and explained the purpose of this inspection. During today's inspection, there were 49 preschool children in care with 9 staff. Director stated there are 55 children enrolled.

On 05/08/2023, Facility was cited Type B for Lead Testing. During inital visit, facility did not complete state mandated Lead Testing. On 05/19/2023, Facility submitted Plan of Correction when facility submitted proof of Lead Testing results to licensing.

As of 05/24/2023, Deficiency has been CLEARED. Clearance letter has been printed and provided to Director during inspection.

No deficiencies were cited during today's inspection.

Exit interview was conducted and report was reviewed with the Director, Amy Mullens. 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: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
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 1