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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212900
Report Date: 02/25/2020
Date Signed: 02/25/2020 04:08:47 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:WOODBRIDGE CHILDREN'S CENTER - JOHN MUIRFACILITY NUMBER:
070212900
ADMINISTRATOR:TONIA JONESFACILITY TYPE:
840
ADDRESS:205 VISTA WAYTELEPHONE:
(925) 229-5767
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:125CENSUS: 45DATE:
02/25/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Bany NogueraTIME COMPLETED:
04:30 PM
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Licensing Program Analyst Caroline Colson met with Bany Noguera, Center Director, for an unannounced case management inspection at 3:01 PM. There are 45 school age children and 8 staff members including the director. Analyst discussed required documentation for new directors and requirements for when a facility temporarily moves to another location for reconstruction.

A site notice was posted. An exit interview was conducted. Appeal rights were discussed and given. This report must remain available for public review for 3 years.

There were no deficiencies cited during this inspection.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
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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