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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403435
Report Date: 03/30/2023
Date Signed: 03/30/2023 05:40:54 PM


Document Has Been Signed on 03/30/2023 05:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:BRENDA'S KIDZ KAREFACILITY NUMBER:
073403435
ADMINISTRATOR:LEWIS, BRENDAFACILITY TYPE:
850
ADDRESS:227 17TH STREETTELEPHONE:
(510) 234-2428
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY:31CENSUS: 5DATE:
03/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:41 PM
MET WITH:Brenda LewisTIME COMPLETED:
05:55 PM
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On Thursday, March 30, 2023 at 3:41 PM, Licensing Program Analyst (LPA) Caroline Colson met with Brenda Lewis, Center Director, for an unannounced plan of correction inspection. There are four preschool children and 1 school age child present. Technical Assistance was reviewed to ensure all corrections were completed. Records were reviewed. Licensee will contact different agencies to complete the Mandated Reporter Training course and needs an extension to complete. Furthermore, Licensee will have a water sampler come to the facility to perform lead testing.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2023
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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