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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013418180
Report Date:
02/12/2025
Date Signed:
02/12/2025 03:47:59 PM
Document Has Been Signed on
02/12/2025 03:47 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 CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
OUSD - ACORN/WOODLAND
FACILITY NUMBER:
013418180
ADMINISTRATOR/
DIRECTOR:
VASQUEZ, LINDA
FACILITY TYPE:
850
ADDRESS:
1025 EIGHTY FIRST AVENUE
TELEPHONE:
(510) 635-1997
CITY:
OAKLAND
STATE:
CA
ZIP CODE:
94621
CAPACITY:
48
TOTAL ENROLLED CHILDREN:
48
CENSUS:
17
DATE:
02/12/2025
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:
Maria Zuniga De Martinez
TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) D. Campos conducted an unannounced case management inspection to follow up on a self reported incident. LPA met with Lead Teacher Maria Zuniga De Martinez. There were 6 staff and 17 children present during the inspection.
During the inspection LPA obtained a copy of the facility roster and conducted interviews.
There are no deficiencies cited during today's inspection.
Exit interview and report reviewed with Lead Teacher Maria Zuniga De Martinez.
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Diana Campos
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/12/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/12/2025
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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