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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400789
Report Date: 08/26/2019
Date Signed: 08/26/2019 11:51:26 AM

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: 78DATE:
08/26/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:BRENDA BATTLETIME COMPLETED:
11:45 AM
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LPA TASHA ALEXANDER MET TODAY WITH CENTER DIRECTOR BRENDA BATTLE FOR A CASE MANAGEMENT VISIT TO ENSURE THAT THE FACILITY HAS NOTIFIED ALL PARENTS OF THE EXCLUSION OF EMPLOYEE MAKAILAH BUTLER BY PROVIDING A COPY OF THE LIC 995B FAMILY CHILD CARE HOME ADDENDUM TO NOTIFICATION OF PARENT'S RIGHTS (REGARDING EXCLUSION) LETTER

TODAY MULTIPLE SIGNED LETTERS HAVE BEEN REVIEWED. PER DIRECTOR, ALL OF THE PARENTS HAVE YET TO BE NOTIFIED BUT WILL BE NOTIFIED BY THE END OF THIS WEEK. LPA REMINDED DIRECTOR TO SUPPLY EACH PARENT/GUARDIAN WITH A COPY OF THEIR SIGNED ADDENDUM.

An exit interview was conducted. A notice of site visit was posted. LPA advised licensee of the requirement to post the notice of site visit for 30 days and applicable penalty should the notice be removed prior to the 30 days elapsing.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
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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