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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422037
Report Date: 07/20/2023
Date Signed: 07/20/2023 11:45:28 AM

Document Has Been Signed on 07/20/2023 11:45 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDANGO - REACHFACILITY NUMBER:
013422037
ADMINISTRATOR:CONNIE BYRDFACILITY TYPE:
830
ADDRESS:16335 E. 14TH STTELEPHONE:
(510) 481-4526
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: DATE:
07/20/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Connie Byrd, Venus Mc Murrian and Carmen RogersTIME COMPLETED:
11:45 AM
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On Thursday July 20, 2023 at 11:15 am, Regional Manager (RM) Regional Manager Anika Evans, Licensing Program Manager (LPM) Jason Jang, Licensing Program Analyst (LPA) Manel Estoesta and Jaleesa Jackson had a Non Compliance Conference (NCC) with the Facility's Site Director Connie Byrd, Carmen Rogers - Senior Regional Director and Regional Director Venus Mc Murrian.

The NCC discussion included the Complaint Investigation dated 06/15/2023, Deficiencies, Plan of Correction (POC), POC Clearances and Regional Office recommendation to maintain in compliance.

Exit interview conducted and report was reviewed with the Connie Byrd, Carmen Rogers and Venus Mc Murrian.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023
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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