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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406683
Report Date: 09/21/2021
Date Signed: 09/21/2021 02:10:35 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:WOOD ROSE ACADEMY AND PRESCHOOLFACILITY NUMBER:
073406683
ADMINISTRATOR:CHARINA OPINIONFACILITY TYPE:
850
ADDRESS:4347 COWELL ROADTELEPHONE:
(925) 825-4644
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY:72CENSUS: 49DATE:
09/21/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Harisdelsy H. CardenasTIME COMPLETED:
02:39 PM
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On 9/21/2021 Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit conducted a case management inspection at the facility above. LPAs met with Director Harisdelsy H. Cardenas and conducted a staff interview and assisted with organizing staff and children's files.

There were no deficiencies cited during this visit.


Exit interview conducted Director Harisdelsy. A copy of this report was provided to Director Haridelsy.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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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