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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423044
Report Date: 06/15/2023
Date Signed: 06/15/2023 11:10:46 AM


Document Has Been Signed on 06/15/2023 11:10 AM - 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:AU BEAU SEJOUR FRENCH PRESCHOOLFACILITY NUMBER:
013423044
ADMINISTRATOR:REFES, LILLIAFACILITY TYPE:
850
ADDRESS:860 30TH STREETTELEPHONE:
(510) 817-4532
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:55CENSUS: 46DATE:
06/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lillia RefesTIME COMPLETED:
11:20 AM
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Licensing Program Analysts (LPA) Cherie Acosta and Diana Campos conducted an unannounced Case Management inspection. LPAs met with Director Lillia Refes.

The facility has made some changes. The staff bathroom has been relocated to the break room. The previous staff bathroom has now been converted to a children's bathroom. The bathroom has two child sized toilets, a sink with one faucet and a double sink with two faucets.

The facility has also added a Step 2 play structure to the play yard. The play structure has a slide and two swings. The structure has been anchored to the ground for the children's safety.

LPAs have observed both the bathroom and play structure to be safe and approved to use by children.

Report reviewed with Lillia Refes.
Notice of Site visit was provided and must be posted for 30 day.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2023
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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