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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404440
Report Date: 05/24/2024
Date Signed: 05/24/2024 12:18:37 PM

Document Has Been Signed on 05/24/2024 12:18 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 CO. CSD - GEORGE MILLER IIICH.CENTERFACILITY NUMBER:
073404440
ADMINISTRATOR/
DIRECTOR:		VILLARPANDO, KARLAFACILITY TYPE:
850
ADDRESS:300 S. 27TH STREETTELEPHONE:
(510) 374-3526
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 200TOTAL ENROLLED CHILDREN: 200CENSUS: 12DATE:
05/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Ruth HunterTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 5/24/2024, at 9:45 AM, Licensing Program Analyst (LPA) Brittany Crass arrived at the facility for a case management inspection regarding a self-reported Unusual Incident the Oakland Regional office received on 5/10/2024. LPA met with the Site Supervisor, Ruth Hunter. LPA toured classroom 1. LPA observed two staff members with 12 children. An additional staff member arrived during the visit.

Video footage was reviewed, and interviews were conducted with both staff and children.

There were no deficiencies cited during todays visit.

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

Exit interview conducted and report was reviewed with the Site Supervisor, Ruth Hunter.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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