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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209620
Report Date: 08/10/2020
Date Signed: 10/21/2020 04:42:11 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:CITY OF EL CERRITO COMM. SVCS. - HARDING PARKFACILITY NUMBER:
070209620
ADMINISTRATOR:EDEN O'BRIEN BRENNERFACILITY TYPE:
840
ADDRESS:7115 C STREETTELEPHONE:
(510) 559-7003
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:50CENSUS: 0DATE:
08/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Eden O'Brien-BrennerTIME COMPLETED:
03:45 PM
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On 8/10/20 at 3:15pm, Licensing Program Analyst (LPA) Loretta Dyson conducted a case management tele inspection of the field adjacent to the facility. A tele inspection was done thru FaceTime application due to the COVID-19 pandemic. LPA met with Eden O'Brien-Brenner, Recreation Supervisor. There were no children present. Ms. O'Brien-Brenner used her cell phone to show LPA the field. LPA observed that the field is a short walking distance from the facility inside of a fence, and that the field is fenced all around. LPA did not observe any defects or dangerous conditions on the field. The measurement of the field was provided as follows: 37,070 square feet.

The field will be added as an additional outdoor space effective 8/10/20. This report will remain on file for 3 years. There are no deficiencies being cited. An electronic signature will not be obtained from the licensee, but the report will be mailed to the licensee for signature.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
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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