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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405001
Report Date: 08/12/2022
Date Signed: 08/12/2022 03:48:49 PM

Document Has Been Signed on 08/12/2022 03:48 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:SAYBROOK LEARNING CENTERFACILITY NUMBER:
073405001
ADMINISTRATOR:SOLEDAD PEOPLESFACILITY TYPE:
850
ADDRESS:1355 WALDEN ROADTELEPHONE:
(925) 937-8211
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY: 70TOTAL ENROLLED CHILDREN: 24CENSUS: 22DATE:
08/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Soledad PeoplesTIME COMPLETED:
04:00 PM
NARRATIVE
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On 08/12/2022 on 2:30 PM, Licensing Analyst Program (LPA) Christina Watts conducted an unannounced case management inspection at Saybrook Learning Center. LPA met Director, Soledad Peoples and explained the purpose of today's inspection. During today's inspection, there were 22 children in care and 4 staff including the Director.

On 08/03/2022, LPA Watts originally cited the facility for the fence in the outdoor area leaning inward toward the facility which poses/posed a potential health, safety or personal rights risk to persons in care. LPA Watts had issues with the computer and could not issue the citation correctly.

LPA Watts is citing facility for the outdoor fence leaning inward towards the children equipment which poses/posed a potential health, safety or personal rights risk to persons in care.

Exit interview was conducted and report was reviewed with the Director, Soledad Peoples. 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: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/12/2022 03:48 PM - It Cannot Be Edited


Created By: Christina Watts On 08/12/2022 at 03:32 PM
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: SAYBROOK LEARNING CENTER
FACILITY NUMBER: 073405001

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/03/2022
Section Cited
CCR
101238(c)

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101238 Buildings and Grounds (c) All outdoor...passageways, stairways...and other areas of potential hazard shall be kept free of obstruction.
This requirement is not met as evidenced by:
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By 08/26/2022, the facility will have the fence fixed. The facility will sent pictures to LPA Watts for clearance.
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Outdoor fence leaning inward toward children play equiment. This poses/posed a potential health, safety or personal rights risk to persons 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:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 08/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/12/2022


LIC809 (FAS) - (06/04)
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