<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013423537
Report Date:
08/06/2024
Date Signed:
08/06/2024 10:04:45 AM
Document Has Been Signed on
08/06/2024 10:04 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:
BEY, KAAMIL
FACILITY NUMBER:
013423537
ADMINISTRATOR/
DIRECTOR:
BEY, KAAMIL
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(510) 290-8344
CITY:
OAKLAND
STATE:
CA
ZIP CODE:
94611
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
9
DATE:
08/06/2024
TYPE OF VISIT:
Case Management - Deficiencies
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:
Blanca Gomez
TIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LPA D. Campos arrived at the facility and met with fingerprint cleared assistant Blanca Gomez for the purpose of conducting a Case Management inspection to deliver an amended report. Licensee was present at facility but indisposed. Present during this visit were 9 children in care consisting of 7 toddlers and 2 infants and 3 fingerprint cleared assistants.
Please see the amended report LIC809 and LIC809C for corrections made.
No citations issued as a result of this visit.
Exit interview conducted and report reviewed with assistant Blanca Gomez.
Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Diana Campos
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/06/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
1