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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407454
Report Date: 10/25/2024
Date Signed: 10/25/2024 01:08:05 PM

Document Has Been Signed on 10/25/2024 01:08 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:LITTLE FLOWERS MONTESSORI - MITCHELLFACILITY NUMBER:
073407454
ADMINISTRATOR/
DIRECTOR:		MELODY ANGLESFACILITY TYPE:
850
ADDRESS:2875 MITCHELL DRTELEPHONE:
(925) 472-0225
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 144TOTAL ENROLLED CHILDREN: 100CENSUS: 75DATE:
10/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Melody Angles TIME VISIT/
INSPECTION COMPLETED:
01:25 PM
NARRATIVE
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On 10/25/24 at 9:15am, Licensing Program Analysts (LPAs) Catherine Fernandes and Mario Caro arrived on a case a management- deficiencies inspection and met with Director Melody Angles. At the time of the visit, there were 75 preschoolers in care with 13 finger print cleared staff members.

While at the center reviewing video footage for another matter, LPAs Fernandes and Caro observed footage from 10/22/24 of staff one (S1) changing the children's diapers and then serving food to the children without washing her hands.

LPAs informed the Director Angles of the deficiency. After reviewing the footage with the Director, Director
confirmed that the S1 did not wash her hands after diapering the children and then serving food.

See 809D for deficiency cited.



Exit interview conducted with Director
Report, Appeal Right and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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Document Has Been Signed on 10/25/2024 01:08 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 10/25/2024 at 11:44 AM
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: LITTLE FLOWERS MONTESSORI - MITCHELL
FACILITY NUMBER: 073407454

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2024
Section Cited
CCR
101638.1(c)

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Staff and children shall wash their hands at appropriate times, including but not limited to:(1) Before and after eating or handling food.(2) After toileting or changing diapers.
(3) Whenever hands are contaminated with bodily fluids. This requirement was not met as evidenced by:
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The center will conduct a all staff training on sanitation and come up with a written checklist and plan of procedures for diapering or toileting and handling food. The center needs to send the plan to CCLd by POC date 11/08/24.
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Based on video footage and conformation from the Director a staff member did not wash her hands after changing diapers and then served food to the children in care which is a potential risk to the health and safety of the children in the 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:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2024


LIC809 (FAS) - (06/04)
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