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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212633
Report Date: 11/03/2023
Date Signed: 11/03/2023 12:17:33 PM

Document Has Been Signed on 11/03/2023 12:17 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CONTRA COSTA CO. CHILD DEV. CENTER - VERDEFACILITY NUMBER:
070212633
ADMINISTRATOR:FREEMAN, MICHELEFACILITY TYPE:
850
ADDRESS:2000 GIARAMITA AVENUETELEPHONE:
(510) 374-3008
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 6DATE:
11/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH: Stephanie HoustonhTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Diana Campos met with Center Director Stephanie Houston for a case management visit as a result of receiving an unusual incident report.

As a result of the inspection, there are no deficiencies cited.
A site visit notice was provided and must remain posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2023
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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