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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405699
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:09:47 PM

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:55CENSUS: 15DATE:
12/11/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Samara ChavisTIME COMPLETED:
03:15 PM
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On 12/11/19 at 2:30pm, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced case management inspection. LPA met with Samara Chavis. There were 15 children and 2 additional staff members also present. This school age program is a component of this combination center, which also includes a preschool license, and operates Monday thru Friday 7am to 6:15pm, in classrooms 1, 2, 3, 6, 10, 10a, 10b, 10c, 11, 11a, and 12. Classroom 12 will be shared with the preschool program, who will use it until school age children arrive on site.

An application for an increase of capacity was received, to increase the total capacity from 55 to 58. The following measurements have been determined:

INDOORS: 2,050.165 square feet = 58 children
OUTDOORS: 3503.02 square feet = 47 children

A fire clearance, dated 12/3/19, was received from the Contra Costa County Fire Protection Department for a total capacity of 58 school age children. A waiver has been approved for the playground and is posted and visible in the center.

The center will be licensed for 58 school age children, operating in classrooms 1, 2, 3, 6, 10, 10a, 10b, 10c, 11, 11a, and 12, effective today 12/11/19. There are no deficiencies being cited today. This report will remain on file for 3 years. An exit interview was conducted, and a notice of site visit was provided which needs to remain posted for 30 days.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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