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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404398
Report Date: 06/03/2022
Date Signed: 06/03/2022 12:19:17 PM

Document Has Been Signed on 06/03/2022 12:19 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:WEE CARE CENTERFACILITY NUMBER:
073404398
ADMINISTRATOR:ADRIENNE LOUGHFACILITY TYPE:
850
ADDRESS:1275 FAIRVIEW AVENUETELEPHONE:
(925) 634-5180
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 130TOTAL ENROLLED CHILDREN: 100CENSUS: 52DATE:
06/03/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:CARRIE URIBETIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management inspection. Inspection was conducted in regards to a self reported incident.

It was reported that a backpack of a child in care had adult medication in a zip lock bag. The staff were unaware that the medication was in the backpack. Children in care accessed the backpack, took out the bag with medication and opened the bag. There were two teachers and 11 children present during the incident. Teachers could not be certain that children did not ingest medication. Child's parents were contacted. Parents were encouraged to take their children to the emergency department to ensure children did not ingest medication. It was determined by medical professionals that children did not ingest medication.
Parents were reminded to ensure no medication is not left in children's backpacks as all medication must be kept inaccessible to children. Staff are now checking children's backpacks to ensure there are no future incidents.

The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Exit Interview and report reviewed with Carrie Uribe
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2022
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 06/03/2022 12:19 PM - It Cannot Be Edited


Created By: Cherie Acosta On 06/03/2022 at 11:54 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: WEE CARE CENTER
FACILITY NUMBER: 073404398

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2022
Section Cited
CCR
101223(a)(2)

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Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

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Director shall provide a written plan of action to CCL by 6/6/22. The plan shall explain steps taken to ensure there are no further incidents.
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This requirement was not met as evidenced by: children in care accessed adult medication that was in a child's backpack which poses an immediate risk to the health and safety of children in care.
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• 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.

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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:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 06/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/03/2022


LIC809 (FAS) - (06/04)
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