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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407410
Report Date: 02/07/2024
Date Signed: 02/07/2024 02:48:11 PM


Document Has Been Signed on 02/07/2024 02:48 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:KLA SCHOOLS OF WALNUT CREEKFACILITY NUMBER:
073407410
ADMINISTRATOR:ELIF KALKANFACILITY TYPE:
850
ADDRESS:298 N. WIGET LANETELEPHONE:
(925) 357-8080
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:170CENSUS: 126DATE:
02/07/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Elif KalkanTIME COMPLETED:
04:00 PM
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On 2/7/24 Licensing Program Analyst (LPA) Monica Mathur and Licensing Program Manager (LPM) Sherelle Johnson conducted an unannounced required Case Management - Non-Compliance Inspection at KLA Schools of Walnut Creek – Preschool program with Toddler component. LPA met with Director, Elif Kalkan and explained the purpose of today's inspection.

During annual inspection dated 4/19/23 facility was cited for Supervision and Care and put on frequent required visits. Facility attended a Non-Compliance Conference with the Regional Office and participated in the Department's Technical Support Program training. Purpose of today's inspection is to follow up and ensure overall compliance.

Facility operates in 3 toddler, 7 preschool rooms, 1 Art room
At time of inspection it was observed there were 17 preschool children with 1 fully qualified staff and 1 Aide (completed 3 units) in room 4B. Director was reminded there can be only 15 children with those staff qualifications. Director stated the aide was giving their other fully qualified teacher a break and in the room for a short while. She was reminded that center needs to stay compliant with ratios at all times.

A staff HEIDY DELEON VERDUZCO who was present with children today did not have working eligible clearances, was not associated to this license or any other licensed facility. Guardian system shows she is in process. LPA consulted with support staff at the Regional Office and provided Elif a copy of relevant documentation for Heidy. She was reminded to ensure Heidy completes a new Live Scan process and is associated before she can return to work at the center. Heidy left the premises during inspection.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024
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 3


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: KLA SCHOOLS OF WALNUT CREEK
FACILITY NUMBER: 073407410
VISIT DATE: 02/07/2024
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There were 3 other staff who were associated to Infant license but not to Preschool. Elif transferred their clearances and associated them to both licenses during inspection.

Director was reminded to ensure:
1. Transcripts of courses completed and those currently enrolled must be kept in each staff file. Encouraged to complete Teacher Qualifications Form LIC9095 for all staff.
2. Live Scan or Clearance Transfer process must be completed in its entirety before staff can be present at the center.
3. Staff working in both programs must be associated to both licenses.

Deficiency was cited today with civil penalty of $100 for Criminal Record Clearance ($100 per day for 1 day) and Technical Violation was issued for ratios. See page 809-D.

Exit interview was conducted and report was reviewed with Director, Elif Kalkan. NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED NEAR ENTRANCE FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 02/07/2024 02:48 PM - It Cannot Be Edited

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: KLA SCHOOLS OF WALNUT CREEK
FACILITY NUMBER: 073407410

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2024
Section Cited
CCR
101170(e)(1)

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101170 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
(1) Obtain a California clearance or a criminal record exemption. This requirement is not met as evidenced by:
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Heidy shows on Guardian as "in process". She is required to retake the Live Scan. She left the facility during inspection.
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Per file review staff HEIDY DELEON VERDUZCO present today did not have working eligible clearances, was not associated to this license or any other licensed facility. Civil penalty of $100 assessed. This poses a potential risk to health safety of children in care.
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By 2/14/24 Director shall submit a written corrective plan of action ensuring compliance moving forward.

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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 JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3