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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209907
Report Date: 05/12/2023
Date Signed: 05/12/2023 10:39:11 AM

Document Has Been Signed on 05/12/2023 10:39 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:CONTRA COSTA CHRISTIAN PRESCHOOLFACILITY NUMBER:
070209907
ADMINISTRATOR:LOYOLA, MARIA LYVETTEFACILITY TYPE:
850
ADDRESS:2721 LARKEY LANETELEPHONE:
(925) 934-4964
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 32DATE:
05/12/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maria Y LoyolaTIME COMPLETED:
10:45 AM
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On 5/12/23 Licensing Program Analyst (LPA) Monica Mathur met with Director, Maria Loyola to conduct a Case Management inspection for the Lead Testing results at Center.

LPA conducted an inspection and toured the premises with Director, Maria. It was indicated that there were at least two (2) water outlets that exceeded the Action Level established by the State for exposure. One is located in the outdoor play ground and other in Room 8. Both outlets were used by children for drinking water and hand washing. Room 8 outlet was used for food prep also. LPA observed outlets have been sealed and made inaccessible. Children bring their own water bottles and facility is providing Crystal Geyser water for drinking and food prep. Director stated they plan to replace both fixtures and re-test again.

Lead exceedance posed a potential risk to health and safety of children in care. Deficiency is cited from the California Code of Regulations, Title 22 (see 809D). LPA discussed a Plan of Correction and facility has submitted the documentation for the post-testing requirements.

Exit interview conducted and report was reviewed with the Director, Maria Loyola. A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2023
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 05/12/2023 10:39 AM - It Cannot Be Edited


Created By: Monica Mathur On 05/12/2023 at 10:24 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: CONTRA COSTA CHRISTIAN PRESCHOOL
FACILITY NUMBER: 070209907

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/12/2023
Section Cited

101700.3(b)(2)

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101700.3(b)(2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement is not met as evidenced by:
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By POC due date 6/12/23 Director agreed to send a written plan of remediation, ensure outlets are re-tested and submit test results.
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There are at least two (2) outlets that exceeded the Action Level established by the State for exposure. One is located in the outdoor play ground and other, in Room 8. Both outlets were used by children for drinking water, hand washing. Room 8 outlet was used for food prep also. This posed a potential risk to children in care.
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LPA observed outlets have been sealed, made inaccessible. Children bring own water bottles.Facility is using Crystal Geyser gallon containers for drinking/food prep. Director stated they plan to replace fixtures and re-test again.

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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:Monica Mathur
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2023


LIC809 (FAS) - (06/04)
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