070211217-6-6-2024-02-CC-MDOY-D5YQWS-20240606123225

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070211217
Report Date: 06/06/2024
Date Signed: 06/06/2024 12:32:30 PM

Document Has Been Signed on 06/06/2024 12:32 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	WALNUT ACRES DAY CARE CENTER		FACILITY NUMBER:	070211217
ADMINISTRATOR:	GONCE, JAIME		FACILITY TYPE:	840
ADDRESS:	450 WIGET LANE		TELEPHONE:	(925) 932-0507
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY:	170	CENSUS: 0	DATE:	06/06/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Jaime Teel		TIME COMPLETED:	12:50 PM

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 June 6, 2024, Licensing Program Analyst, (LPA) M. Domantay met with Director, Jaime Teel, for the purpose of an unannounced case management inspection for an application that was submitted for a change of capacity and adding a room. Facility is requesting to increase school age capacity to 205 children. Facility is also requesting to add Room B7 to the school age program license. Facility operates Monday through Friday from 7:00 AM to 6:00 PM. The fire clearance was granted on 2/26/2024 by the Contra Costa County Fire Protection Department for 205 school age children, ages 4.9 years to 12 years and also adding room B7. INDOOR ACTIVITY SPACE: There are 4 school age areas designated for the school age program: WADC Building, Room B5, B6, and B7. No measurements were taken during today's inspection. Facility is exempt from square footage due to operating on the premises of Walnut Acres Elementary School. LPA observed a sufficient amount of equipment, toys, tables, and chairs. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional combination smoke/carbon monoxide detector in Room B7 that is being added to the school age license. School age children have 8 toilets and 8 sinks. LPA observed an electronic sign-in/sign-out system. There is a separate private restroom for the staff located in the WADC building. Children who become ill during the day will be isolated in the couch, loft area, or front bench at the entrance of WADC building and will use the staff restroom, if necessary. Page 1

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: WALNUT ACRES DAY CARE CENTER	FACILITY NUMBER: 070211217
	VISIT DATE: 06/06/2024

NARRATIVE

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OUTDOOR ACTIVITY SPACE:
All outdoor activity space remains the same from previous pre-licensing inspections. The school age outdoor play areas is fenced with a steel fencing that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There is a play structure present in the outdoor play yard area. There are shaded areas supplied by trees and wooden awning. The playground is free of debris and other hazards. There are no pools, hot tubs, or other bodies of water present.

LPA discussed 100% supervision is always required in all areas that children have access to including the
bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds
was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure
compliance. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director’s absence must be reported to the department within 10 working days.

Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and
stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other
important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information
website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Director, Jaime Teel.

The following items are required before a license will be issued:
1. Licensing Program Manager (LPM) final file review.
2. Gate must be installed in WADC building as barrier between kitchen and school activity area.

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SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024

LIC809 (FAS) - (06/04)

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