<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406685
Report Date: 10/09/2023
Date Signed: 10/09/2023 03:52:03 PM

Document Has Been Signed on 10/09/2023 03:52 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:CREEK MIDDLE SCHOOL YOUTH PROGRAM - WCI, THEFACILITY NUMBER:
073406685
ADMINISTRATOR:ALMA REYES GUZMANFACILITY TYPE:
840
ADDRESS:2425 WALNUT BLVDTELEPHONE:
(925) 746-5536
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY: 75TOTAL ENROLLED CHILDREN: 41CENSUS: 0DATE:
10/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Alma Reyes GuzmanTIME COMPLETED:
04:15 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 10/9/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management inspection at The Creek Middle School Youth Program WCI and met with Director, Alma Reyes Guzman. At time of inspection, there were no children present.

On 10/6/23 Center reported to Licensing Department an incident that occurred on 10/5/23 where a child C1 alleged that child C2 touched C1 in an inappropriate manner. C1's parent also expressed concerns about the incident to the center. Per Director, on day of incident, there were 3 staff present with about 10 children. Staff were actively supervising other children and greeting parents at pick up time. Staff did not see the incident happen, but were positioned close to C1, C2. Center conducted their own investigation, spoke to C1, C2, their parents, increased monitoring, held meetings with children about expectations, appropriate behavior, discipline and conducted all staff meetings. Center has hired additional staff since incident. Center also reported incident to Police Department who contacted the families of C1 and C2. No further action has been taken by the Police Department. Both children returned to the program next day after incident.

LPA interviewed the Director and obtained documents.There is no indication of lack of supervision at this time as staff were actively supervising in the room. Director took all necessary steps and followed appropriate reporting procedures. No deficiencies were issued during today's visit. Exit Interview was conducted, this report was reviewed and discussed with Director, Alma Reyes Guzman.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2023
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 1