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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415011
Report Date: 03/05/2020
Date Signed: 03/05/2020 01:30:54 PM

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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:CORDANO, NANCY AND MICHAELFACILITY NUMBER:
013415011
ADMINISTRATOR:CORDANO, NANCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 790-9360
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY:14CENSUS: 8DATE:
03/05/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Licensee - Nancy CordanoTIME COMPLETED:
01:35 PM
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Licensing Program Analyst (LPA) Jonathan Williams met with Licensee Nancy Cordano to conduct an unannounced Case Management visit on 3/5/2020 in order deliver an amended report of an inspection conducted on 2/7/2020.

Present during this inspection are the Licensee, fingerprint cleared assistant provider, and eight children in care (two infants and six preschoolers).

No deficiencies are cited today. This report shall remain on file for 3 years. A Notice of Site visit was provided and must be posted for 30 days. Exit interview was conducted with the Licensee.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan WilliamsTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
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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