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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
070211636
Report Date:
06/09/2022
Date Signed:
06/09/2022 11:22:54 AM
Document Has Been Signed on
06/09/2022 11:22 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:
FIRST BAPTIST CHURCH HEAD START - LIDO SQUARE
FACILITY NUMBER:
070211636
ADMINISTRATOR:
MARIA ARROYO
FACILITY TYPE:
850
ADDRESS:
2131 CRESTVIEW LANE
TELEPHONE:
(925) 473-2030
CITY:
PITTSBURG
STATE:
CA
ZIP CODE:
94565
CAPACITY:
20
CENSUS:
0
DATE:
06/09/2022
TYPE OF VISIT:
Required - 1 Year
ANNOUNCED
TIME BEGAN:
11:00 AM
MET WITH:
Maria Arroyo
TIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an announced visit to complete an Annual Required inspection. LPA met with Education Manager Maria Arroyo.
This site is currently not operating. The last day children were present was 5/10/22. First Baptist Church Headstart did not renew their lease at this location. The lease ended 5/31/22. First Baptist Church Headstart will no longer operate. This location may have a change of ownership.
LPA toured the facility. The facility no longer has furniture and is not set up to provide care for children. Toilets and sinks are in operable condition. LPA observed the outdoor play area to be safe for children. Facility has a working carbon monoxide detector.
File review was not conducted as there are no staff and no children in care.
Exit interview and report reviewed with Maria Arroyo
SUPERVISOR'S NAME:
Sherelle Johnson
TELEPHONE:
(510) 622-2592
LICENSING EVALUATOR NAME:
Cherie Acosta
TELEPHONE:
(510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
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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