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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214801
Report Date: 10/17/2024
Date Signed: 10/17/2024 12:23:42 PM

Document Has Been Signed on 10/17/2024 12:23 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:EXTENDED DAY CHILD CARE - FREDERIKSENFACILITY NUMBER:
010214801
ADMINISTRATOR/
DIRECTOR:		OCHOA, ROSAMARIAFACILITY TYPE:
840
ADDRESS:7243 TAMARACK DRIVETELEPHONE:
(925) 833-0127
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 180TOTAL ENROLLED CHILDREN: 180CENSUS: 0DATE:
10/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:55 AM
MET WITH:Lead teacher ,Angelica GarciaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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LPA Saini conducted a case management today and met with the teacher in charge, Angelica Garcia. Upon arrival, there were no children in care. The purpose of this case management was to amend the report created on 09/19/2024. The annual inspection report incorrectly stated that the facility has firearms when it does not. The report was amended, and a copy was reviewed with Angelica Garcia.

No deficiencies were cited today.

A notice of site visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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