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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010212904
Report Date: 07/29/2022
Date Signed: 07/29/2022 09:43:09 AM

Document Has Been Signed on 07/29/2022 09:43 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LLESA CHILDREN'S CENTERFACILITY NUMBER:
010212904
ADMINISTRATOR:REBECCA HESTERFACILITY TYPE:
840
ADDRESS:1399 ALMOND AVENUETELEPHONE:
(925) 424-0507
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 28DATE:
07/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Rebecca HesterTIME COMPLETED:
09:45 AM
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On July 29, 2022, Licensing Program Analyst, Simerjit Kaur met with Rebecca Hester for an UNANNOUNCED 1-YEAR RANDOM INSPECTION. This is School age component of a combination center. Facility operating hours are 7:00am- 6:00pm Monday- Friday.

LPA Kaur was in facility to conduct inspection, during the inspection, LPA was informed that a staff member was tested positive for Covid. LPA will return to complete inspection on later date.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2022
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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