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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010206036
Report Date: 04/18/2024
Date Signed: 04/18/2024 09:32:07 AM

Document Has Been Signed on 04/18/2024 09:32 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OUSD - CENTRO INFANTIL DE LA RAZAFACILITY NUMBER:
010206036
ADMINISTRATOR/
DIRECTOR:		LERMA, JORGEFACILITY TYPE:
850
ADDRESS:2660 EAST 16TH STREETTELEPHONE:
(510) 879-0819
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 88TOTAL ENROLLED CHILDREN: 47CENSUS: 38DATE:
04/18/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Blanca OrellanaTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 04/18/2024 at 8:45 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced case management inspection to follow up on a lead exceedance at the facility. LPA met with Lead Teacher, Blanca Orellana, to explain the purpose of today's visit. LPA verified the outlet has been permanently removed. The facility is in compliance and no deficiencies are being cited today.



Exit interview conducted, appeal rights were given, and report was reviewed with the Lead Teacher, Blanca Orellana.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024
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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