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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406613
Report Date: 03/09/2022
Date Signed: 03/09/2022 12:12:07 PM


Document Has Been Signed on 03/09/2022 12:12 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:LUNA-ROBINSON, FRANCESFACILITY NUMBER:
073406613
ADMINISTRATOR:LUNA-ROBINSON, FRANCESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 727-8624
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:14CENSUS: 5DATE:
03/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Frances Luna-RobinsonTIME COMPLETED:
12:15 PM
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On 3/9/22 at 11:00AM Licensing Program Analyst (LPA) Michelle Sutton conducted an unannounced case management. The home was toured to conduct a Health and Safety Inspection. LPA met with licensee Frances Luna-Robinson and present for the inspection is licensee, assistant, 1 infant and 4 preschool children.

During today's visit LPA conducted interviews.

At 12:08 PM Exit interview was conducted and report was reviewed with the licensee Frances Luna Robinson.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2022
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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