<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405685
Report Date: 01/20/2023
Date Signed: 01/20/2023 01:01:41 PM

Document Has Been Signed on 01/20/2023 01:01 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:HAPPY LION DAY CARE CENTERFACILITY NUMBER:
073405685
ADMINISTRATOR:CHAVIS, WEDNESDAYFACILITY TYPE:
850
ADDRESS:2929 CASTRO ROADTELEPHONE:
(510) 734-9119
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 5DATE:
01/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Wednesday ChavisTIME COMPLETED:
01:16 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
There was a save replication conflict that occurred when FAS was opened at the facility. On Friday, January 20, 2023, at 10:12 AM, Licensing Program Analyst (LPA) Caroline Colson and Licensing Program Manager l, Mayla Mendoza, conducted a case management inspection to conduct additional interviews. There are 5 preschool children and 3 staff members including the director present.

There were no deficiencies cited during this inspection. Appeal Rights were given and discussed. An exit interview was conducted with Wednesday Chavis, Center Director.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1