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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401254
Report Date: 10/14/2021
Date Signed: 10/14/2021 04:03:29 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:AIM-HIGH CHILD CARE CENTERFACILITY NUMBER:
073401254
ADMINISTRATOR:KAYLA REYESFACILITY TYPE:
840
ADDRESS:200 GRIFFITH LANETELEPHONE:
(925) 513-9326
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:75CENSUS: 25DATE:
10/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Rosy MendezTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Case Management inspection. LPA met with Lead Teacher Rosy Mendez. Present during the inspection was 25 children, 2 teachers and 1 aide.

The purpose of the inspection was to review Director's file and qualifications. LPA obtained copies of documents.

There are no citations issued during today's inspection

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview was conducted with Rosy Mendez.
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SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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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