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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405699
Report Date: 05/08/2024
Date Signed: 05/08/2024 05:32:18 PM


Document Has Been Signed on 05/08/2024 05:32 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:HAPPY LION DAY CARE CENTERFACILITY NUMBER:
073405699
ADMINISTRATOR:CAHVIS, WEDNESDAYFACILITY TYPE:
840
ADDRESS:2929 CASTRO ROADTELEPHONE:
(510) 734-9119
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:58CENSUS: 10DATE:
05/08/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Wednesday ChavisTIME COMPLETED:
05:40 PM
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On May 8, 2024 at 4:35pm Licensing Program Analyst (LPA) Indira Loza met with Director Wednesday Chavis to conduct a case management visit regarding the Lead Testing. Present during today's visit were 10 school-age children, two fingerprint cleared staff, and two interns from the Contra Costa Middle College.

Upon arrival Director Chavis provided information regarded the testing that needs to be reviewed. There are no deficiencies cited during today's visit pending further review.

Exit interview conducted.
Report reviewed with Director Wendy Chavis. Appeal Rights were provided.
Notice of Site Visit must remain posted for 30 days.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2024
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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