<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070206070
Report Date: 01/19/2023
Date Signed: 01/19/2023 02:49:44 PM

Document Has Been Signed on 01/19/2023 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:KING'S VALLEY PRESCHOOLFACILITY NUMBER:
070206070
ADMINISTRATOR:KETNER, MICHELEFACILITY TYPE:
850
ADDRESS:4255 CLAYTON ROADTELEPHONE:
(925) 687-2020
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 68DATE:
01/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:MICHELE KETNERTIME COMPLETED:
03:00 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
8:15AM LPA TASHA ALEXANDER MET WITH CENTER DIRECTOR MICHELE KETNER FOR A CASE MANAGEMENT VISIT TO DISCUSS A SITUATION THAT WAS REPORTED ON 12/21/22. IT WAS REPORTED THAT A CHILD EXPRESSED INAPPROPRIATE BEHAVIOR WHILE IN CARE AT THE FACILITY WHEN THE CHILD WAS OBSERVED "BEING SILLY, AND RUBBED THEIR BOTTOM ON THEIR FRIEND". PER DIRECTOR, THE FACILITY HAS REACHED OUT TO THE CHILD'S PARENTS WHO SHE SAYS HAVE BEEN RESPONSIVE AND THEY ARE NOW IN THE PROCESS OF TAKING STEPS TO HAVE A MEETING AND SEE IF THEY CAN WORK TOGETHER TO CURB THE CHILD'S BEHAVIOR.

THERE ARE NO DEFICIENCIES CITED TODAY.
AN EXIT INTERVIEW WAS CONDUCTED
A NOTICE OF CITE VISIT WAS GIVEN
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2023
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 1