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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013422448
Report Date:
02/01/2023
Date Signed:
02/01/2023 11:05:08 AM
Document Has Been Signed on
02/01/2023 11:05 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, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
KIDANGO CASTLEMONT PRESCHOOL
FACILITY NUMBER:
013422448
ADMINISTRATOR:
WILLIAMS, NGLEGE
FACILITY TYPE:
850
ADDRESS:
8601 MACARTHUR BLVD. BLD. 300
TELEPHONE:
(510) 456-0876
CITY:
OAKLAND
STATE:
CA
ZIP CODE:
94605
CAPACITY:
45
TOTAL ENROLLED CHILDREN:
45
CENSUS:
5
DATE:
02/01/2023
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
08:06 AM
MET WITH:
Antjuanette Carter
TIME COMPLETED:
11:16 AM
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LPA Lisa Dyer met with Director Antjuanette Carter for a case management visit.
As a result of this visit, there are no deficiencies cited.
Exit interview conducted. Notice of Site visit must be posted for 30 days.
SUPERVISORS NAME
:
Loretta Dyson
LICENSING EVALUATOR NAME
:
Phyllis Dyer
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/01/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/01/2023
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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