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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422034
Report Date: 08/14/2024
Date Signed: 08/14/2024 09:44:29 AM

Document Has Been Signed on 08/14/2024 09:44 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WILDWOOD CHILDRENS SCHOOLFACILITY NUMBER:
013422034
ADMINISTRATOR/
DIRECTOR:
HA, TAEFACILITY TYPE:
850
ADDRESS:8 WILDWOOD AVE.TELEPHONE:
(510) 922-9197
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY: 57TOTAL ENROLLED CHILDREN: 49CENSUS: 42DATE:
08/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Anita LeeTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 08/14/2024 at 9:00AM Licensing Program Analyst (LPA), A. Curry conducted a Plan of Correction visit to clear a deficiency that was previously cited on 07/09/2024. LPA met with the Director, Anita Lee, to explain the purpose of today's visit. No deficiencies are being cited today.

During today's visit the director received the cleared POC letter.

Exit interview conducted, appeal rights were given, and report was reviewed with the director, Anita Lee.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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