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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422034
Report Date: 05/06/2022
Date Signed: 05/06/2022 01:31:41 PM


Document Has Been Signed on 05/06/2022 01:31 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:WILDWOOD CHILDRENS SCHOOLFACILITY NUMBER:
013422034
ADMINISTRATOR:HA, TAEFACILITY TYPE:
850
ADDRESS:8 WILDWOOD AVE.TELEPHONE:
(510) 922-9197
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY:57CENSUS: 42DATE:
05/06/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Jennelle TorresTIME COMPLETED:
02:00 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
On 05/06/2022 Licensing Program Analyst (LPA) A. Curry conducted an unannounced plan of correction inspection visit. LPA met with director Jennelle Torres to discuss to purpose of today's visit. There are 42 children present today. LIcensee stated she emailed and faxed a written plan on how to come back into compliance. Although LPA did not receive the written documentation, the director was able to provide proof of email and fax dated 04/27/2022. The deficiency will be cleared as of 04/27/2022.


Exit interview conducted, appeal rights were given, and report was reviewed with director Jennelle Torres.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/06/2022
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