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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406613
Report Date: 12/01/2021
Date Signed: 12/01/2021 12:59:40 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:LUNA-ROBINSON, FRANCESFACILITY NUMBER:
073406613
ADMINISTRATOR:LUNA-ROBINSON, FRANCESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 439-7577
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:14CENSUS: 4DATE:
12/01/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Frances Luna-RobinsonTIME COMPLETED:
01:00 PM
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On 12/1/21 Licensing Program Analyst (LPA) Michelle Sutton conducted an unannounced case management visit for Plan of Corrections. LPA met with licensee Frances Robinson and present for the inspection were licensee, assistant and 4 children.

During the inspection operations of a family childcare home were discussed.

At 1:00 PM an exit interview was conducted, the report was discussed and signed. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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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