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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
070215032
Report Date:
04/08/2024
Date Signed:
04/08/2024 11:55:48 AM
Document Has Been Signed on
04/08/2024 11:55 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:
AIM-HIGH CHILD CARE CENTER, INC.
FACILITY NUMBER:
070215032
ADMINISTRATOR/
DIRECTOR:
ALEXIS ESQUIVEL
FACILITY TYPE:
840
ADDRESS:
1755 CENTRAL BLVD.
TELEPHONE:
(925) 516-9006
CITY:
BRENTWOOD
STATE:
CA
ZIP CODE:
94513
CAPACITY:
75
TOTAL ENROLLED CHILDREN:
76
CENSUS:
0
DATE:
04/08/2024
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:
Alexis Esquivel
TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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Licensing Program Analysts (LPA) Cherie Acosta and Dealia Frison conducted an unannounced case management visit. The visit was conducted to follow up on a self reported incident report.
During the visit LPAs conducted interviews and obtained copies of documents.
There were no deficiencies during today's visit.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview conducted and report was reviewed with Director Alexis Esquivel.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Cherie Acosta
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/08/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/08/2024
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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