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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013419574
Report Date:
03/13/2025
Date Signed:
03/13/2025 11:19:51 AM
Document Has Been Signed on
03/13/2025 11:19 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
OAKLAND SOUTH EAST
,
1515 CLAY STREET STE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
ALCORN-FERNANDEZ, LYNDA
FACILITY NUMBER:
013419574
ADMINISTRATOR/
DIRECTOR:
ALCORN-FERNANDEZ, LYNDA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(510) 396-2686
CITY:
NEWARK
STATE:
CA
ZIP CODE:
94560
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
DATE:
03/13/2025
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
10:55 AM
MET WITH:
TIME VISIT/
INSPECTION COMPLETED:
11:20 AM
NARRATIVE
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SUPERVISORS NAME
:
Wynn Norona
LICENSING EVALUATOR NAME
:
Michael Mathew
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/13/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/13/2025
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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