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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010212475
Report Date: 02/21/2024
Date Signed: 02/21/2024 09:47:54 AM

Document Has Been Signed on 02/21/2024 09:47 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:OAKLAND HEAD START - SAN ANTONIOFACILITY NUMBER:
010212475
ADMINISTRATOR:JIMINEZ, LOURDESFACILITY TYPE:
850
ADDRESS:2228 EAST 15TH STREETTELEPHONE:
(510) 535-5639
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
02/21/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:LOURDES JIMINEZTIME COMPLETED:
09:50 AM
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On February 21, 2024 Licensing Program Analyst Tasha Alexander met with Center director Lourdes Jiminez for a Plan of Correction visit, to clear the deficiency cited during a complaint investigation conducted on 2/7/2024.

During this analyst's visit on 2/7/2024, the facility was cited for failing to maintain a comfortable temperature in the classroom.

During today's visit, the classroom was inspected, temperature was observed. The facility is now maintaining a comfortable temperature inside of the classroom (72 degrees).

An exit interview was conducted. A notice of site visit was posted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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