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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420589
Report Date: 04/05/2023
Date Signed: 04/05/2023 03:32:22 PM


Document Has Been Signed on 04/05/2023 03:32 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:A.U.S.D.- WOODSTOCK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013420589
ADMINISTRATOR:HUNT, VIRGINIAFACILITY TYPE:
850
ADDRESS:500 PACIFIC AVENUETELEPHONE:
(510) 748-4001
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:120CENSUS: 64DATE:
04/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Raquel BalignitTIME COMPLETED:
03:45 PM
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On 4/5/23 at 2:30pm, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced on a case management and met with School office Assistant Raquel Balignit. Director Virginia Hunt is on vacation and will return 4/17/23. Present in care were 64 preschoolers and 16 staff members.

On 3/21/23 an incident report was reported to licensing regarding a teacher and a child in care. The date of the incident is unknown and may have happened months ago. While at the center LPA Fernandes interviewed staff, the child and the child's parent. Center documents were unavailable to review at the time of the inspection.


No citation were issued.

Exit interview conducted
Report and Appeal Rights provided.




SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
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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