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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212461
Report Date: 05/24/2024
Date Signed: 05/24/2024 03:09:32 PM

Document Has Been Signed on 05/24/2024 03:09 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:VALLE VERDE CHILDREN'S CENTERFACILITY NUMBER:
070212461
ADMINISTRATOR/
DIRECTOR:
CHRISTINE MULLERFACILITY TYPE:
840
ADDRESS:3275 PEACHWILLOW LANETELEPHONE:
(925) 944-5255
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 158TOTAL ENROLLED CHILDREN: 158CENSUS: 46DATE:
05/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Christine MullerTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 5/24/24 Licensing Program Analysts (LPAs) Monica Mathur and Kareeca Sykes conducted an unannounced Case Management inspection at Valle Verde Children's Center and met with Director, Christine Muller. Purpose of today's inspection is to investigate few unusual incidents that occurred in the program recently.

On 5/20/24 during an unannounced inspection, it came to light when Director mentioned to the LPA about an incident that occurred on 5/17/24. A child C1 fell in the playground after being pushed by another child C2. Two staff who were present, actively providing supervision and saw the incident happen. Staff immediately attended to the injured child who complained of arm pain by providing ice pack. Parents were informed immediately, child was picked up and required medical attention. There were no internal injuries and child returned to the program after the weekend. Supervision training was provided to all staff the same day of incident.

Director also mentioned to LPA another unusual incident that occurred later the same day on 5/17/23 in the Multi-purpose room. A child asked teacher S1 to use the bathroom. S1 allowed the child to leave the Multipurpose room without visual supervision through the back door. Director saw the child come out the back door and took child back to the room. Per Director, C1 was alone for no more than 2 seconds. Director and Assistant Director, Kristina Sisco immediately spoke to S1 about lack of supervision and oversight.

20 minutes later another child attempted to leave the room and was caught by staff before leaving the room. Director states S1 was provided supervision training earlier same morning after the injury incident. Since the supervision incidents S1 has left the job. Director states even though they provide ongoing training to staff on supervision requirements, S1 had a history of lack of supervision in the past.

Facility is reminded to stay in compliance with requirements of supervision. 100% visual supervision must be always provided, and no child should be left unattended at any time.

continued on 809-C.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: VALLE VERDE CHILDREN'S CENTER
FACILITY NUMBER: 070212461
VISIT DATE: 05/24/2024
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Director was advised the incidents should have been reported to Licensing office within 24 hours of occurring or first working day after a weekend. Since the incidents had not been reported yet, LPA did the intake in the system during inspection on 5/20/24 and reminded Director to submit written reports to CCLD within 7 days. Director sent the reports on 5/23/24 with a copy of S1's training on supervision.

Facility is also reminded to stay in compliance with Reporting Requirements, when an unusual incident happens which poses a risk to health and safety of child/ren in care, it must be reported to CCLD by phone within 24 hours of occurring, followed by a written report LIC624 within 7 days. LPA provided extensive consultation and assistance on Risky Play, Supervision and Reporting Requirements.

No deficiency was cited today. Technical Violations/Advisory Notes was issued for Reporting Requirements and Responsibility for Providing Care & Supervision. This report was reviewed with Director, Christine Muller. A 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: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
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