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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423740
Report Date: 10/23/2024
Date Signed: 10/23/2024 12:38:57 PM

Document Has Been Signed on 10/23/2024 12:38 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WILDWOOD CHILDRENS CENTERFACILITY NUMBER:
013423740
ADMINISTRATOR/
DIRECTOR:		HA, TAEFACILITY TYPE:
830
ADDRESS:8 WILDWOOD AVENUETELEPHONE:
(510) 922-9197
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY: 12TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
10/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Anita Lee/Tae HaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 10/23/2024 at 8:15 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced visit to follow up with the facility regarding a self-reported incident that occurred at the facility. LPA met with the Director, Anita Lee, to explain the purpose of the visit. The Owner, Tae Ha and Executive Director, Christina Enerio arrived during the visit. No deficiencies are being cited.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Anita Lee, Owner, Tae Ha, and Executive Director, Christina Enerio.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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