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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403752
Report Date: 02/16/2023
Date Signed: 02/16/2023 04:50:15 PM


Document Has Been Signed on 02/16/2023 04:50 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: 5DATE:
02/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Anita ConnorTIME COMPLETED:
03:30 PM
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On 02/16/23, Licensing Program Analysts (LPAs), Melissa Guirit and Melissa Domantay met with staff, Anita Connor for an unannounced Plan of Correction visit. Present for this visit were 5 children, staff, Anita Connor, Director, Eloise Connor and 1 staff . Based on observations, the Plan of Correction for an aide being under the supervision of a fully qualified teacher has been cleared. Director, Eloise, was present during the visit.

No deficiencies cited during today's visit. Exit interview conducted with Anita Connor. Notice of Site Visit provided and must be posted for 30 days.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023
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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