070206070-2-13-2024-02-CC-BPLY-D2EUBC-20240213142608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070206070
Report Date: 02/13/2024
Date Signed: 02/13/2024 02:27:02 PM

Document Has Been Signed on 02/13/2024 02:27 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KING'S VALLEY PRESCHOOL		FACILITY NUMBER:	070206070
ADMINISTRATOR:	KETNER, MICHELE		FACILITY TYPE:	850
ADDRESS:	4255 CLAYTON ROAD		TELEPHONE:	(925) 687-2020
CITY:	CONCORD	STATE: CA	ZIP CODE:	94521
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 68	CENSUS: 62	DATE:	02/13/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:07 AM
MET WITH:	L. Sartorius- Director		TIME COMPLETED:	03:35 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	0n 2/13/24 at 8:07A.M., Licensing Program Analysts (LPAs) D. Frison and B. Plumboy met with center Director L. Sartorius for an UNANNOUNCED ANNUAL RANDOM INSPECTION. This center is located on the campus of Life Church. There is a K-8th grade school on site and the Director is aware children in care may not commingle at any time. Present for this inspection was 11 staff members and 62 preschool age children. The facility was toured by LPAs and center Director to conduct a Health and Safety Inspection. The center operates Monday - Friday from 7:00 A.M. - 6:00 P.M. There are 5 rooms designated for preschool age children (Rooms:6, 7, 8,9, and 10). The Center is equipped with first aid kits, fully charged fire extinguishers, refrigerators, telephones, and restrooms which are located inside each classroom. The staff restroom is located in the main office. All the toilets and sinks are in working order during today's inspection. There was no standing water on the floor observed during today's inspection. Classrooms have furniture and equipment for the use of children in care. The heating and lighting is adequate. There is drinking water available in the classrooms and outdoor, and children in care bring water bottles from home and the center has filtered water stations to refill the water bottles if needed. There are adequate storage hooks for children's belongings. The facility appears to be safe, and sanitary during today's inspection. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition during today's inspection. All storage containers for solid waste had a tight-fitting lids. All surfaces accessible to children are clean and toxic during today's inspection. Mats are available for use of children during day's inspection. The bedding is sent home weekly to be washed by the child's family. Meals are provided by parents and AM/PM snacks provided by center. The center has conducted and documented a fire/disaster drill on 1/25/24. See 809-C for continuance

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: KING'S VALLEY PRESCHOOL	FACILITY NUMBER: 070206070
	VISIT DATE: 02/13/2024

NARRATIVE

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The center roster was reviewed, and a copy was obtained. All staff have provided proof of immunization against pertussis and measles, and provided a note declining the influenza immunization. At least one opening/closing staff member has a current CPR/First Aid certificate. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips).

California Law requires Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail.

The Director is reminded any structural changes to the center or additions to the child care facility must be reported to Community Care Licensing. Director was reminded of Departments inspection authority, with our without any notice.

Director L. Sartorius 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA's informed center representative Morgan of the 21-21.1-CCP.

See 809-C for continuance

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KING'S VALLEY PRESCHOOL	FACILITY NUMBER: 070206070
	VISIT DATE: 02/13/2024

NARRATIVE

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Director L. Sartorius was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Director L. Sartorius of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

See 809-D for deficiency cited during today's inspection. A notice of site visit was given to Director L. Sartorius and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/13/2024 02:27 PM - It Cannot Be Edited

Created By: Briana Plumboy On 02/13/2024 at 01:00 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: KING'S VALLEY PRESCHOOL	FACILITY NUMBER: 070206070
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	The children in care bring water bottles to the facility and the center uses a filtered water system. Based on interview, the facility has not had its drinking water tested for lead contamination levels by January 1, 2023 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/13/2024
	Plan of Correction
1 2 3 4	Director shall schedule lead testing and submit required documents (LIC 9275, LIC 9276, LIC 999, photos, lead testing results and any other supporting documents to LPA due date of 3/13/24

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Wynn Norona

LICENSING EVALUATOR NAME:

Briana Plumboy

LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

LIC809 (FAS) - (06/04)

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