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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403435
Report Date: 10/09/2024
Date Signed: 10/09/2024 11:57:58 AM

Document Has Been Signed on 10/09/2024 11:57 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BRENDA'S KIDZ KAREFACILITY NUMBER:
073403435
ADMINISTRATOR/
DIRECTOR:		LEWIS, BRENDAFACILITY TYPE:
850
ADDRESS:227 17TH STREETTELEPHONE:
(510) 234-2428
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY: 31TOTAL ENROLLED CHILDREN: 31CENSUS: 8DATE:
10/09/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Brenda Lewis TIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On 10/09/2024 at 8:30AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced Plan of Correction (POC) visit to follow up on a deficiency that was previously cited at the facility. LPA met with the Director/Owner, Brenda Lewis, to explain the purpose of today's visit. LPA observed confirmation of appointment for all staff. The POC has been cleared. No deficiencies are being cited during today's visit.

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, Brenda Lewis.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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