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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400789
Report Date: 07/19/2019
Date Signed: 07/19/2019 04:18:01 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:FIRST BAPTIST CHURCH HEAD START - KIDS CASTLEFACILITY NUMBER:
073400789
ADMINISTRATOR:BRENDA W. BATTLEFACILITY TYPE:
850
ADDRESS:55 CASTLEWOOD DRIVETELEPHONE:
(925) 473-2020
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:127CENSUS: 70DATE:
07/19/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:BRENDA BATTLETIME COMPLETED:
04:30 PM
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LPA TASHA ALEXANDER MET WITH CENTER DIRECTOR BRENDA BATTLE IN REGARDS TO AN IMMEDIATE EXCLUSION ISSUED FOR EMPLOYEE MAKAILAH BUTLER. THE PURPOSE OF THIS VISIT IS TO ENSURE THAT MAKAILAH IS NO LONGER PRESENT OR WORKING AT THE FACILITY. PRESENT FOR THIS VISIT TODAY IS 17 STAFF ,51 PRESCHOOLERS AND 19 TODDLERS IN CARE. PER CENTER DIRECTOR, MS. BUTLER'S LAST DAY AT THE FACILITY WAS 7/17/19, SHE IS NOT PRESENT TODAY. THE FACILITY HAS BEEN INSPECTED. MAKAILAH BUTLER IS NOT SEEN AT THE FACILITY TODAY.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
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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