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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408880
Report Date: 10/19/2023
Date Signed: 10/19/2023 02:49:27 PM

Document Has Been Signed on 10/19/2023 02:49 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:GARDEN COMMUNITY PRESCHOOL, THEFACILITY NUMBER:
073408880
ADMINISTRATOR:CADY, MELISSAFACILITY TYPE:
850
ADDRESS:1015 OAK GROVE ROADTELEPHONE:
(925) 671-2979
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 29DATE:
10/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:MELISSA CADYTIME COMPLETED:
02:50 PM
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Licensing Program Analyst Tasha Alexander met today with center director Melissa Cady to discuss a self reported unusual incident that occurred on 5/4/2023 when a child was able to wander into the director's office through the back door from the play yard without the supervising staff's knowledge. Per reports, there was a staff member inside of the office to retrieve the child. Supervising staff did not notice the child was missing for 9 minutes. according to reports, immediate disciplinary action was taken by the center owner.

A Type A deficiency was cited during this inspection. Licensee must provide a copy of this report to all parents of children currently enrolled, and the parent of newly enrolled children in the next 12 months. In addition, forms LIC 9224 and AB 633 fact sheet were provided to the licensee during the inspection.


Please see attached 809-d for citation

An exit interview was conducted

A notice of site visit was posted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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Document Has Been Signed on 10/19/2023 02:49 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 10/19/2023 at 11:53 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: GARDEN COMMUNITY PRESCHOOL, THE
FACILITY NUMBER: 073408880

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/20/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and 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.
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The facility took immediate action: Both staff members were written up and ultimately terminated.

Licensee has been notified that there will be an informal meeting scheduled with Community care licensing to address concerns.
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This requirement was not met as evidenced by a review of records which revealed a child was able to wander into the director's office through the back door from the play yard without the supervising staff knowledge. The child was retrieved by a staff member in the office.
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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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2023


LIC809 (FAS) - (06/04)
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