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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419480
Report Date: 05/05/2022
Date Signed: 05/05/2022 03:58:51 PM

Document Has Been Signed on 05/05/2022 03:58 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOLFACILITY NUMBER:
013419480
ADMINISTRATOR:OJEDA, VANESSAFACILITY TYPE:
850
ADDRESS:4111 ALDER AVENUETELEPHONE:
(510) 792-6200
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 36DATE:
05/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Hazel MeregillanoTIME COMPLETED:
04:05 PM
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On May 5, 2022 at approximately 3:10pm, LPA Haderer arrived and met with Center Director assistant Miss Hazel Meregillano. Regular site director was out of the facility when LPA arrived. On arrival there were 6 staff and 36 children in care.

LPA was here to to confirm the expired foods had been removed from the emergency yellow bin outside near the western door of the building (photos emailed back on April 25, 2022 were not clear). LPA examined the bin and all expired foods had been removed and disposed of.

The deficiency is formally cleared this day, deficiency clearance date: 4/25/2022.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the assistant site director Hazel Meregillano.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022
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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