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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213231
Report Date: 08/23/2023
Date Signed: 08/23/2023 04:07:56 PM

Document Has Been Signed on 08/23/2023 04:07 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:MURWOOD KEYSPOTFACILITY NUMBER:
070213231
ADMINISTRATOR:MELISSA SHERIDAN MULLERFACILITY TYPE:
840
ADDRESS:2050 VANDERSLICE AVENUETELEPHONE:
(925) 932-8118
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY: 120TOTAL ENROLLED CHILDREN: 123CENSUS: 80DATE:
08/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Celia Corral/Melissa SheridanTIME COMPLETED:
04:30 PM
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On 8/23/23 at 1:45 pm Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management inspection at Murwood Keyspot and met with Office Manager, Celia Corral. Director, Melissa Sheridan was not present at the facility at start of inspection. LPA explained the purpose of inspection which was to follow up on an unusual incident that occurred on 8/18/23. Facility self reported incident to Licensing on 8/21/23.

The incident happened on 8/18/23 in the multi purpose room where a child (C1) who was running, playing with other children, hit the edge of a piano and received an injury on bridge of the nose. During today's inspection, LPA conducted interviews, reviewed documents, made room observations, collected information and evidence.
Director, Melissa Sheridan arrived at 2;30 pm.

Based on information obtained, this incident NEEDS FURTHER INVESTIGATION. No deficiency was cited today. Present in the facility were 80 children with 8 staff. Exit interview was conducted with Director, Melissa Sheridan. A NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2023
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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