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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408886
Report Date: 10/20/2022
Date Signed: 10/20/2022 12:45:49 PM

Document Has Been Signed on 10/20/2022 12:45 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:CRAWLERS 2 SCHOLARS-WALNUT CREEKFACILITY NUMBER:
073408886
ADMINISTRATOR:ITALIA, SARENA B.FACILITY TYPE:
850
ADDRESS:1338 LAS JUNTAS WAYTELEPHONE:
(925) 943-6199
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY: 82TOTAL ENROLLED CHILDREN: 59CENSUS: 43DATE:
10/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Serena Italia/Katy HamiltonTIME COMPLETED:
01:00 PM
NARRATIVE
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On10/20/22 Licensing Program Analyst (LPA) Monica Mathur met with Licensee, Serena Italia to conduct a Case Management inspection for the Lead Testing results at Crawlers 2 Scholars - Walnut Creek Center. Director, Katy Hamilton arrived shortly after.

LPA conducted an inspection and toured the premises with Ms. Serena. It was indicated that there was one outlet that exceeded the Action Level established by the State for exposure. Serena states the outlet # N is located in the outdoor playground, and occasionally used to hose down play structures and grounds. Since receiving the test result they stopped using the outlet and decided to decommission completely.

Since the outlet has been used on equipment and grounds that children currenlty use, this poses a potential risk to health and safety of children in care. Deficiency is cited from the California Code of Regulations, Title 22 (seepage 809D). LPA discussed a Plan of Correction (POC) and obtained documents - LIC9275, LIC9276, LIC999, outlet photos and POC written statement during inspection.

Exit interview conducted and report was reviewed with the Director, Katy Hamilton and Licensee, Serena Italia. 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: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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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Document Has Been Signed on 10/20/2022 12:45 PM - It Cannot Be Edited


Created By: Monica Mathur On 10/20/2022 at 12:07 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: CRAWLERS 2 SCHOLARS-WALNUT CREEK
FACILITY NUMBER: 073408886

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2022
Section Cited
CCR
101238(a)

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101238 Building & Grounds (a) The childcare center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by

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Licensee, Ms. Serena stated they have locked the outlet and will decommission it and not use it anymore. Director, Ms. Katy provided a POC written statement and pictures of outlet. LPA cleared the deficiency during the inspection.
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Based on Lead Testing Sample results the facility has one water outlet with lead exposure. This is a potential risk to Health and Safety or Personal Rights risk to persons in care
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Letter of Clearance was provided.

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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: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022


LIC809 (FAS) - (06/04)
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