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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209257
Report Date: 09/29/2022
Date Signed: 09/29/2022 11:05:42 AM

Document Has Been Signed on 09/29/2022 11:05 AM - 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:NORTHCREEK PRESCHOOLFACILITY NUMBER:
070209257
ADMINISTRATOR:ESTHER MCCLELLANFACILITY TYPE:
850
ADDRESS:2303 A YGNACIO VALLEY ROADTELEPHONE:
(925) 954-6300
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 119TOTAL ENROLLED CHILDREN: 119CENSUS: 0DATE:
09/29/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Esther McClellanTIME COMPLETED:
11:25 AM
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On 09/29/22, Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay arrived at the facility for an announced case management inspection to measure the new patio area. LPAs met with Director, Esther McClellan. The normal hours of operation are Mon/Wed/Fri in rooms 101, 102, and 103. Mon/Wed from 9:00 AM to 2:30 PM and Fri from 9:00 AM to 12:00 PM. There are no other changes to the capacity or other classrooms, bathrooms that were previously licensed besides Room 104 not being utilized. A change of capacity application will be needed since the square footage will affect the indoor capacity. LPAs toured the new patio area to conduct a health and safety inspection, and completed the following measurements:

OUTDOORS: 848.16 sq ft = 11 children

Director will submit an updated waiver request for outdoor play yard. The outdoor play yard can be used when the facility is ready.There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site inspection was provided to Director, Esther McClellan, and an exit interview was conducted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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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