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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408280
Report Date: 02/05/2024
Date Signed: 02/05/2024 12:57:12 PM

Document Has Been Signed on 02/05/2024 12:57 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:FOOTPRINTS PRESCHOOLFACILITY NUMBER:
073408280
ADMINISTRATOR:ROBBERS, MARY MARGARETFACILITY TYPE:
850
ADDRESS:50 WOODSWORTH LNTELEPHONE:
(925) 685-7354
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 10DATE:
02/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Mary Margaret RobbersTIME COMPLETED:
01:30 PM
NARRATIVE
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On 2/5/24 Licensing Program Analysts (LPAs) Monica Mathur and Dealia Frison conducted an unannounced Case Management inspection at Footprints Preschool. LPAs met with Director, Mary Margaret Robbers and explained purpose of visit.

During a complaint investigation today, it was determined that 2 staff members KELLIE HERNANDEZ and MALIYA MANNING present today and providing supervision and care to children did not have association to the facility license. Kellie was hired in August 2023 and Maliya started in early January 2024 (both working at the facility for more than 5 days). LPAs contacted Oakland Regional Office and confirmed that both have working and eligible clearance. Support Staff helped transfer both clearances and associate them to license during LPAs visit.

Presence of staff with children without fingerprint association posed a potential risk to health and safety of children in care, therefore a Type B deficiency is cited today with civil penalty for 1 day for each staff ($100 per day x 2 = $200 total). See Page 809-D.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Exit interview conducted, this report was reviewed with Director, Mary Margaret Robbers.
NOTICE OF SITE VISIT WAS ISSUED MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Dealia Frison
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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 02/05/2024 12:57 PM - It Cannot Be Edited


Created By: Dealia Frison On 02/05/2024 at 12:26 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: FOOTPRINTS PRESCHOOL
FACILITY NUMBER: 073408280

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/12/2024
Section Cited
CCR
101170(e)(2)

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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: (2) Request a transfer of a criminal record clearance. This requirement is not met as evidenced by:
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LPAs contacted Oakland Regional Office and confirmed both have working and eligible clearance. Support Staff helped transfer both clearances and associate them to license during LPAs visit.
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Per inspection, 2 staff KELLIE HERNANDEZ and MALIYA MANNING present today, providing supervision, were not associated to license. Both have been working for more than 5 days. This posed a potential risk to safety of children in care.
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By 2/12/24 Director will send a written statement ensuring how facility will be in compliance with this regulation.

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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 Johnson
LICENSING EVALUATOR NAME:Dealia Frison
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2024


LIC809 (FAS) - (06/04)
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