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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420562
Report Date: 05/01/2024
Date Signed: 05/01/2024 02:24:08 PM

Document Has Been Signed on 05/01/2024 02:24 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:KIDANGO - DEL REYFACILITY NUMBER:
013420562
ADMINISTRATOR/
DIRECTOR:
NORA GOODALEFACILITY TYPE:
850
ADDRESS:1510 VIA SONYATELEPHONE:
(510) 901-1557
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 10DATE:
05/01/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Shao Liang, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Sidney Cortez met with Director Shao Liang to conduct a Case Management inspection for the Lead Testing results at this facility. In addition to the director, 10 children and 3 staff members are present today. The facility operates Monday - Friday from 7:30 am to 4:00 pm.

LPA Inspected the facility for health and safety. It was concluded that based on the testing results there no outlet that exceeded the Action Level. The lab who conducted the tests needed to upload the results on the WaterBoard portal. No plan of corrections needed.

LPA Cortez provided technical assistance to the new director (went over physical plants, and personnel files, and children files).

A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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