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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209978
Report Date: 01/26/2024
Date Signed: 01/26/2024 09:54:52 AM

Document Has Been Signed on 01/26/2024 09:54 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:PIXIE PLAY SCHOOLFACILITY NUMBER:
070209978
ADMINISTRATOR:JESSICA MUSANTEFACILITY TYPE:
850
ADDRESS:1797 AYERS ROADTELEPHONE:
(925) 689-4030
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 30TOTAL ENROLLED CHILDREN: 10CENSUS: 7DATE:
01/26/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Marisa BriggsTIME COMPLETED:
10:00 AM
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On 01/26/2024 at 8:40 AM, Licensing Program Analyst (LPA) Christina Watts conducted an Plan of Correction (POC) inspection at Pixie Play School. This facility is a parent co-op facility. LPA met with Interim Director, Marisa Briggs and explained the purpose of this visit. During today's inspection, there were 7 preschool aged children in care with 2 parent volunteers. Interim Director stated there were 10 preschool children enrolled. Interim Director has Criminal Record Clearance.

LPA is following up on a violation the facility was given on 12/13/2023 for failure to conduct the Lead Testing. LPA has been in contact with facility regarding the procedures of Lead Testing. LPA has provided facility PIN 21-21.1 - CCP, Written Directives for Lead Testing Child Care Center Pursuant AB 2370, Chapter 676, Statues of 2018 and PIN 21-04-CCP Availability of State and Federal Funding to Test Drinking Water for Lead Contamination in Child Care Centers and for Remediation (Correction) of Lead Contamination via email. At this time, facility has not conducted Lead Testing for facility due to applying for state funds to conduct Lead Testing. Facility has requested an extension for the Plan of Correction so facility can test their water for lead. Licensing Program Manager (LPM) Sherelle Johnson received this request and has granted facility an extension for 30 days from the report date. The facility now has until close of business (COB) on 02/26/2024 to completed lead testing and provide testing results to licensing. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

During today's inspection, there were no violations observed.

Exit interview conducted and report was reviewed with Interim Director, Marisa Biggs. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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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