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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403752
Report Date: 01/03/2023
Date Signed: 01/03/2023 02:19:18 PM


Document Has Been Signed on 01/03/2023 02:19 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:LADS & LASSIE'S LATCH-KEYFACILITY NUMBER:
073403752
ADMINISTRATOR:CONNOR, ELOISEFACILITY TYPE:
840
ADDRESS:1649 CLAYCORD AVENUE, P-7TELEPHONE:
(925) 687-4550
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:52CENSUS: 0DATE:
01/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:TIME COMPLETED:
02:10 PM
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Attempted Unannounced Required 1 Year Annual Inspection.

Licensing Program Analysts (LPA) Melissa Guirit and Melissa Domantay arrived unannounced at the facility on 01/03/2023 to conduct a visit to conduct unannounced required 1 year annual inspection. LPAs arrived at the facility and the school grounds was observed to be closed. The school signed stated that winter break was until 01/06/2023. LPAs did not observe or hear any children or staff indoors or outdoors of facility. LPAs observed no cars to be present in front of the school.

LPAs attempted to contact facility at 925-687-4550, but no answer. LPA Guirit was not able to leave a voicemail due to a full inbox.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 01/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/03/2023
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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