073407478-12-13-2019-02-CC-RHOE-BJTPAZ-20191213100935

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407478
Report Date: 12/13/2019
Date Signed: 12/13/2019 10:09:41 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:	DIANNE ADAIR DAY CARE CENTERS AT TICE CREEK		FACILITY NUMBER:	073407478
ADMINISTRATOR:	ANGEL, JUDY		FACILITY TYPE:	840
ADDRESS:	1847 NEWELL AVE		TELEPHONE:	(925) 429-3232
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94595
CAPACITY:	150	CENSUS: 14	DATE:	12/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Judy Angel		TIME COMPLETED:	10:20 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	3 – LPA, Hollie, met with Assistant Director, Jeri Cruz and Director, Judy Angle, for the purpose of a Random Health and Safety Inspection. Present today are six staff and a total of 14 children. There are no bodies of water or fire arms on the premises, per the Director. A tour of the facility-both rooms- was conducted. The child care center is sanitary and appears to be in good condition. Disinfectants, cleaning solutions poisons and other items that are dangerous to children, are inaccessible during this visit. Poisons are locked. Furniture and equipment appear to be in good condition and free of sharp, loose or pointed parts. Toilets and sinks are operable, sanitary and there is sufficient soap and paper products. The floors are clean and free of hazards during this visit. The kitchen/food preparation area is free of litter, rubbish and the evidence of rodents and other vermin. Storage containers for solid waste (garbage cans) including moveable bins, have tight-fitting covers that are kept on and are in good repair. Uncontaminated drinking water is readily available both indoors and outdoors. The Outdoor activity space surfaces are free of hazards today. The outdoor activity space surface is maintained in a safe condition and is free of hazards today. Playground equipment appears to be in good condition, free of sharp, loose or pointed parts. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility remains fenced PLEASE SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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: DIANNE ADAIR DAY CARE CENTERS AT TICE CREEK	FACILITY NUMBER: 073407478
	VISIT DATE: 12/13/2019

NARRATIVE

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The facility is in compliance with staff-child ratios. Snack menus are posted at least one week in advance and are visible by the child’s authorized representative. There is a Carbon Monoxide Detector. Staff and children’s records were reviewed for medical assessments and educational qualifications.

The licensee was reminded that all person’s 18 years of age or older, who works at the facility must be fingerprint cleared or associated to the facility PRIOR to being in the presence of day care children.

The licensee was encouraged to review Title 22 Regulations on line at CCLD.CA.GOV to stay informed and up to date on changes in laws or regulations as it relates to Child Care Centers. LPA discussed Provider Information Notices (PIN’s) with Licensee.

LPA informed Licensee regarding the new Law requiring Child Care Centers and Family Day care Homes to obtain Mandated Child Abuse Reporting Training, (Assembly Bill 1207). LPA informed Director that training must be completed by all staff no later than March 30 2018 and verification must be kept on file and renewed every two years. The training is free of charge and can be taken online at http://www.madatedreporterca.com/

During this visit, LPA discovered that the facility became licensed to care for Pre-School children in June 2019. The Director asked if I could conduct a Random Visit for the Pre-school and I did. Please see facility number, 073408294.

PLEASE SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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: DIANNE ADAIR DAY CARE CENTERS AT TICE CREEK	FACILITY NUMBER: 073407478
	VISIT DATE: 12/13/2019

NARRATIVE

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THE LICENSEE WAS INFORMED THAT IF THE FACILITY RECEIVES A DEFICIENCY, THE CORRECTION MUST BE SUBMITTED BY THE DATE PROVIDED ON THE DEFICIENCY NOTICE, OR A CIVIL PENALTY OF $100 PER DAY WILL BE ASSESSED TO THE FACILITY UNTIL THE DEFICIENCY IS CORRECTED. ADDITIONALLY, A REPEAT VIOLATION OF A DEFICIENCY WILL BE ASSESSED IN THE AMOUNT OF $250 AND $100 PER DAY UNTIL CORRECTED.

During today's visit, LPA conducted a random inspection prescribed medication of children in care and viewed the authorization documents.

The facility has the Plan of Operation if children have to take medication on file. The facility conducts and documents emergency drills as required. Children play on the school campus with Dianne Adair Staff supervision, per Director. .

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.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

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