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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013414809
Report Date: 12/13/2022
Date Signed: 12/13/2022 04:28:33 PM

Document Has Been Signed on 12/13/2022 04:28 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:OAKLAND HEAD START - FRANKLIN CENTERFACILITY NUMBER:
013414809
ADMINISTRATOR:LY, ROSALYNFACILITY TYPE:
850
ADDRESS:1010 EAST 15TH STREETTELEPHONE:
(510) 238-1306
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 3DATE:
12/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Sandra RuffTIME COMPLETED:
04:40 PM
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LPA Lisa Dyer met with Director Sandra Ruff for a case management - incident inspection as a result of receiving an unusual incident report.

The director, one teacher, and 3 preschool children are present.

As a result of this inspection, there are no deficiencies cited.
Appeal rights were given. A site visit notice was posted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2022
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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