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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070203730
Report Date: 06/25/2024
Date Signed: 06/25/2024 10:42:27 AM

Document Has Been Signed on 06/25/2024 10:42 AM - 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:BONNEL, SANDYFACILITY NUMBER:
070203730
ADMINISTRATOR/
DIRECTOR:		SANDY BONNELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 357-7651
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 4DATE:
06/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Sandy BonnelTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 6/25/24 Licensing Program Analysts (LPAs) Monica Mathur and Kareeca Sykes conducted an unannounced Case Management inspection at Sandy Bonnel's home and met with Licensee, Sandy. Present in the home were Licensee, her spouse and 4 daycare children.

Purpose of today's inspection is to address an unusual incident that occurred on 5/6/24 when Licensee took her daycare children to the neighboring elementary school playground for outdoor activity. During play time, a daycare child had a medical emergency. The Licensee and staff of a school age program located in the elementary school premises helped out, provided first aid, contacted emergency services and child was taken to the hospital. The school age program reported the incident to Licensing, however, Licensee, Sandy Bonnel did not report the incident. Failure to report an unusual incident of this nature is a violation of reporting requirements regulation and poses a potential risk to health and safety of children in care. Licensee is reminded to report unusual incidents by calling Licensing Office within 24 hours of incident and submit a written report LIC624B within 7 days.

Deficiency is cited on 809-D page. Exit interview was conducted with Licensee, Sandy Bonnel. Notice of Site Visit was issued, must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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Document Has Been Signed on 06/25/2024 10:42 AM - It Cannot Be Edited


Created By: Monica Mathur On 06/25/2024 at 09:51 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BONNEL, SANDY
FACILITY NUMBER: 070203730

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/02/2024
Section Cited
CCR
102416.2(b)(1)

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102416.2 Reporting Requirements (b) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family childcare home. (1) Medical treatment means treatment by a medical professional. This requirement is not met as evidenced by:
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By 7/2/24 Licensee agreed to send a written statement of her understanding of the regulation and the plan on how to stay in compliance moving forward with this regulation.
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Per investigation, Licensee did not report an unusual incident where a daycare child had a medical emergency in the playground and required hospitalization. This poses a potential risk to health safety of children in care.
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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
LICENSING EVALUATOR NAME:Monica Mathur
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024


LIC809 (FAS) - (06/04)
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