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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406642
Report Date: 12/03/2019
Date Signed: 12/03/2019 03:14:00 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:CONTRA COSTA CO. COMM. SVCS. - BAYO VISTAFACILITY NUMBER:
073406642
ADMINISTRATOR:ISABEL RENGGENATHENFACILITY TYPE:
830
ADDRESS:2 CALIFORNIA STREETTELEPHONE:
(510) 374-7492
CITY:RODEOSTATE: CAZIP CODE:
94572
CAPACITY:12CENSUS: 0DATE:
12/03/2019
TYPE OF VISIT:CollateralANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Isabel RenggenathenTIME COMPLETED:
03:40 PM
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On 12/3/19, Licensing Program Analysts (LPA), Melissa Guirit and Diana Campos met with Director, Isabel Renggenathen for an announced collateral visit. Present today were LPAs and Director. The reason for today's visit was to review classroom footage in regards to a complaint. Further investigation will be conducted.

Exit interview conducted with Director. Appeal rights provided.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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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