073407410-4-19-2023-02-CC-MMAR-CR2TA3-20230419143251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407410
Report Date: 04/19/2023
Date Signed: 04/19/2023 02:32:59 PM

Document Has Been Signed on 04/19/2023 02:32 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 CREEK		FACILITY NUMBER:	073407410
ADMINISTRATOR:	ELIF KALKAN		FACILITY TYPE:	850
ADDRESS:	298 N. WIGET LANE		TELEPHONE:	(925) 357-8080
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY: 170	TOTAL ENROLLED CHILDREN: 154	CENSUS: 129	DATE:	04/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Elif Kalkan		TIME COMPLETED:	12:30 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 4/19/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Required Annual Inspection at KLA Schools of Walnut Creek – Preschool program with Toddler component. LPA met with Assistant Director, Roxana Acevedo who informed that Director, Elif Kalkan would arrive later. LPA explained the purpose of today's inspection. Facility operates in: Toddler rooms - 2B, 2C Preschool rooms - 2A, 3A, 3B, 3C, 4A, 4B, TK, Kindergarten The physical plant was inspected, and LPA toured the premises with Assistant Director. INDOOR SPACE: Classrooms and restrooms were inspected. Facility was in compliance with teacher child ratios during inspection. There were some parent volunteers present. Children were engaged in various activities under the visual supervision of the teachers. At 10:00 am Director, Elf Kalkan arrived and continued walk through with LPA. Disinfectants, cleaning solutions, and other items dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Facility does not provide snack or lunch. Children bring their own from home, however a contingency snack is kept in case child forgets to bring food. Trash cans for solid waste had tight-fitting covers on and were in good repair. At 10:12am while inspecting Room 3C, LPA and Director found a child (C1) alone in the bathroom. Room was empty as class had transitioned outside in the play ground. C1 was left behind without visual supervision. C1 was helped and escorted outside to the class and teachers. Video footage shows they left room around 9:48 am, did not take Attendance Chart and did not realize a child was left behind. C1 was left without visual supervision for at least 24 minutes. Absence of supervision is a zero tolerance deficiency as it poses an immediate risk to safety of child/ren in care. Type A deficiency is cited with $500 civil penalty assessment on page 809-D.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

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 4

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: 04/19/2023

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
26
27
28
29
30
31
32

LPA observed a working Fire extinguisher, Smoke and Carbon Monoxide Detectors. Log shows that the last Fire Drill was conducted March 2023. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in parked vehicles. Required postings were observed to be posted. Facility has completed mandatory Water Lead Testing before January 2023.
OUTDOOR SPACE: There are 3 play grounds that were inspected and observed to be fenced and safe. Play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment were cushioned with material that absorbs falls. Shade is provided and there were no bodies of water observed. Drinking water is readily available to children.
FILE REVIEW: Children sign in/out procedures and logs and sample of children and staff files was taken for review. There was at least one teacher with current certification in Pediatric CPR/First Aid present at the facility during inspection. Children's Roster was reviewed.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication, equipment/supplies, children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: 04/19/2023

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
26
27
28
29
30
31
32

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

LPA Monica Mathur informed Director, Elif Kalkan that this report dated 4/19/23 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Mathur informed Director to provide a copy of this licensing report dated 4/19/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

In the areas that were evaluated, regulatory violation was observed. See page 809D. Director was informed a Non Compliance Meeting will be scheduled to discuss citation.

Exit interview conducted and report was reviewed with the Director, Elif Kalkan. A NOTICE OF SITE VISIT was given and must remain posted for 30 days along with all pages of this report 809.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 04/19/2023 02:32 PM - It Cannot Be Edited

Created By: Monica Mathur On 04/19/2023 at 01:26 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: KLA SCHOOLS OF WALNUT CREEK	FACILITY NUMBER: 073407410
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101229(a)(1)

101229 Responsibility for Providing Care & Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	During inspection LPA and Director found a child C1 alone in class bathroom while room children and staff had left for outdoor activity. C1 was left alone without visual supervision for at least 24 minutes. This poses an immediate health, safety or personal rights risk to persons in care. $500 civil penalty assessed.
	POC Due Date: 04/20/2023
	Plan of Correction
1 2 3 4	By Due Date 4/20/23 Director agreed to submit written plan on how facility will come back into compliance. By Due Date 5/5/23 conduct all staff meeting to discuss plan, watch supervision training video on CCLD website and submit attendance/agenda to Licensing Office. www.ccld.ca.gov A copy of this report must be posted and provided to all parents and to those newly enrolled over next 12 months. Signed Acknowledgment fo Receipt of Licensing Report LIC9224 must be signed by parent, kept in child's file.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Monica Mathur

LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4