073407412-11-30-2023-02-CC-MDOY-CY3SCA-20231130124513

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407412
Report Date: 11/30/2023
Date Signed: 11/30/2023 12:45:32 PM

Document Has Been Signed on 11/30/2023 12:45 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	ST. AGNES PRESCHOOL		FACILITY NUMBER:	073407412
ADMINISTRATOR:	SCIACQUA, LORI		FACILITY TYPE:	850
ADDRESS:	3886 CHESTNUT AVE		TELEPHONE:	(925) 689-3990
CITY:	CONCORD	STATE: CA	ZIP CODE:	94521
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 19	DATE:	11/30/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Lori Sciacqua		TIME COMPLETED:	01:15 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 Thursday November 30, 2023, Licensing Program Analyst (LPA) M. Domantay met with Director Lori Sciacqua, for the purpose of an unannounced case management inspection for an application that was submitted to change the capacity and increase the facility capacity to 24 preschoolers. Present during today's inspection were Director Lori Sciacqua and 1 staff. There were 19 preschool children upon arrival. Hours of operation are Monday through Friday from 8:00 AM to 3:15 PM. The fire clearance was granted on 10/4/2023. LPA toured the classroom with Director. The program operates in 1 classroom. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. 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. A waiver is in place for sharing the bathroom with the Private school. Floors were clean and free from tripping hazard. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers and were in good repair. LPA observed a 3A10BC Fire extinguisher, combination smoke and Carbon Monoxide Detectors. LPA measured 1 preschool classroom. The total classroom space contains a total of 820 square feet, which will not accommodate Applicant's request for 24 preschool children. There are 3 toilets and 2 sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. AGNES PRESCHOOL	FACILITY NUMBER: 073407412
	VISIT DATE: 11/30/2023

NARRATIVE

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There is 1 outdoor area on the property for the preschool children to utilize. Outdoor playground was inspected and observed to be safe. Director is reminded that 100% supervision of children must be provided. All climbing equipment is properly anchored to the ground with adequate and appropriate cushioning under them. The playground is cushioned by tan bark. A waiver is in place for sharing the outdoor area with the Private school. There are shaded areas supplied by trees. The playground is free of debris and other hazards. There are no pools, hot tubs, or other bodies of water present.

LPA measured the outdoor activity space. The outdoor play area contains a total of 10,898.35 square feet, which will accommodate Applicant's request for 24 preschool children.

Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A notice of site visit was given to Director, Lori Sciacqua and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Director, Lori Sciacqua.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC809 (FAS) - (06/04)

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