<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406660
Report Date: 06/05/2024
Date Signed: 06/05/2024 03:18:57 PM

Document Has Been Signed on 06/05/2024 03:18 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:YMCA CHILDCARE- VALHALLAFACILITY NUMBER:
073406660
ADMINISTRATOR/
DIRECTOR:		KALIE MARSHFACILITY TYPE:
840
ADDRESS:530 KIKI DRTELEPHONE:
(925) 674-1676
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 84TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Julie MendenhallTIME VISIT/
INSPECTION COMPLETED:
03:30 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
Licensing Program Analysts (LPA) Cherie Acosta and Dealia Frison conducted an unannounced visit in regards to a self reported incident. LPAs met with Director Julie Mendenhall and Assistant Director Katie Krider,

During the visit LPAs conducted interviews. The incident that was reported did not involve any of the children in the care of YMCA Childcare-Valhalla.

The are no deficiencies sited today.
Notice of Site visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Julie Mendenhall
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1