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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213156
Report Date: 02/05/2024
Date Signed: 02/05/2024 04:04:51 PM

Document Has Been Signed on 02/05/2024 04:04 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:PARKMEAD KEYSPOTFACILITY NUMBER:
070213156
ADMINISTRATOR:FONTANILLA, GEOFFREYFACILITY TYPE:
840
ADDRESS:1920 MAGNOLIA WAYTELEPHONE:
(925) 939-1543
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94595
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 84DATE:
02/05/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Geoffrey FontanillaTIME COMPLETED:
04:30 PM
NARRATIVE
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On 2/5/24 Licensing Program Analysts (LPAs) Monica Mathur and Dealia Frison conducted an unannounced Case Management - Legal/Non-Compliance inspection at Parkmead Keyspot program which is located in the premises of Parkmead Elementary School. Present during inspection were:
Portable 1: 7 children with Director, 1 fully qualified staff
Outdoor Yard #1: 27 children with 1 fully qualified staff, 1 Aide
Outdoor Yard #2: 50 children with 2 fully qualified staff, 2 Aides (currently enrolled)
Facility is in compliance with required ratios today.

Staff file review showed a staff aide CALISSA HANSEN who was present today, started working as a minor 17 year old and continued after turning 18 year old in May 2023. She does not have working eligible clearance and is not associated to facility license. Director stated he intended to get her fingerprinted but did not follow through and it was a slip on his part. Calissa left the premises immediately and Director stated she will not return until she gets cleared and associated.

During an annual inspection dated 2/7/2023 facility was cited for failure to comply with Criminal Record Clearance. A Non-Compliance Conference was conducted and Technical Support Program was offered which the facility participated in and completed. Employee/s working with children without clearance poses a potential risk to health and safety of children in care. Today's failure to comply with Criminal Record Clearance is a repeat violation within 1 year. Therefore facility is cited a deficiency on 809-D page with civil penalty of $250 assessment.

Director 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.

Exit interview was conducted and report was reviewed with Director, Geoffrey Fontanilla. NOTICE OF SITE VISIT WAS ISSUED MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Dealia Frison
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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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Document Has Been Signed on 02/05/2024 04:04 PM - It Cannot Be Edited


Created By: Dealia Frison On 02/05/2024 at 03:30 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: PARKMEAD KEYSPOT
FACILITY NUMBER: 070213156

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/12/2024
Section Cited
CCR
101170(e)(1)

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101170(e)(1) Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption. This requiremernt is not met as evidenced by:
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Calissa left the premises during inspection and Director assured she will not return until clearances are received.

By POC Due Date 2/12/24 Director agreed to submit a written plan of how facility will comply with regulation.
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Staff CALISSA HANSEN has been working at the center since May 2023, does not have fingerprint clearances and is not associated to the license. This is a repeat violation within 1 year and poses a potential risk. Civil penalty of $250 is issued today.
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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:Dealia Frison
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2024


LIC809 (FAS) - (06/04)
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