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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417566
Report Date: 02/04/2022
Date Signed: 02/04/2022 12:21:37 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ADVANCE DAY CARE CENTERFACILITY NUMBER:
013417566
ADMINISTRATOR:LAM, ENGFACILITY TYPE:
850
ADDRESS:2236 INTERNATIONAL BLVD.TELEPHONE:
(510) 434-9288
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:80CENSUS: DATE:
02/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Eng LamTIME COMPLETED:
12:30 PM
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On 02/04/2022 License Program Analysts (LPAs) Ashley Curry and Monica Mathur conducted a case management inspection and met with Director Lam.

LPAs discussed and reminded director that children's personal right should never be violated.

LPAs discussed time-out best practices.

LPAs reminded director the importance of having a fully qualified designated person of responsibility in her absence. Director agreed to send qualification packet for designated staff person in charge in her absence.

LPAs reminded director that only parents should sign child in and out daily.

Exit interview was conducted with Director Lam and report reviewed. A Notice of Site Visit was issued, must be posted for 30 days.

No deficiency was cited.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
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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