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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400252
Report Date: 02/21/2025
Date Signed: 02/21/2025 04:49:22 PM

Document Has Been Signed on 02/21/2025 04:49 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:CONTRA COSTA COUNTY CSB GEORGE MILLER CENTERFACILITY NUMBER:
073400252
ADMINISTRATOR/
DIRECTOR:		JENNIFER KIRBYFACILITY TYPE:
850
ADDRESS:3068 GRANT ST.TELEPHONE:
(925) 646-5646
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 106TOTAL ENROLLED CHILDREN: 106CENSUS: 44DATE:
02/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:ROSE ANN RAMIROTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On February 21, 2025 Licensing Program Analyst (LPA) Tasha Alexander met with Site Supervisor Rose Ann Ramiro and director Averyl De Vera to discuss a self reported Unusual incident that occurred on 2/3/25 when a day care parent reported to the Site supervisor that her child told her that a teacher hurt/pulled her finger.

Per Site Supervisor, mom reported that the incident either occurred on 1/30/25 or 1/31/25. The child reported to mom over the weekend. There was an internal investigation conducted. Today written statements from staff were reviewed as well as the classroom videos for 1/30/25 and 1/31/25.

Although the incident may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore there will be no deficiencies cited today.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Site Supervisor Rose Ramiro and Director Averyl De Vera.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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