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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405603
Report Date: 05/14/2024
Date Signed: 05/14/2024 04:59:04 PM

Document Has Been Signed on 05/14/2024 04:59 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:GEORGE MILLER CENTER - RICHMONDFACILITY NUMBER:
073405603
ADMINISTRATOR:CHRISTINE ROTTGERFACILITY TYPE:
840
ADDRESS:2801 ROBERT MILLER DRIVETELEPHONE:
(510) 374-3981
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 8DATE:
05/14/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Romina Garcia-VieyraTIME COMPLETED:
05:10 PM
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On May 14, 2024 at 3:20pm Licensing Program Analyst (LPA), Indira Loza conducted an unannounced annual/random inspection. LPA met with Program Coordinator Romina Garcia-Vieyra. This is a school age program licensed for 30 children and operates Monday – Friday from 9am-6pm (The hours of operation vary depending on the time of year).

Due to time constraints this annual inspection will be continued at a later date.

Exit Interview conducted.
Report and Appeal Rights provided to Program Coordinator Romina Garcia-Vieyra.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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