<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406683
Report Date: 04/20/2022
Date Signed: 04/20/2022 10:05:37 AM


Document Has Been Signed on 04/20/2022 10:05 AM - 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: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: 46DATE:
04/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Harisdelsy CardenasTIME COMPLETED:
10:25 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/20/2022, Licensing Program Analyst (LPA), Melissa Guirit conducted an unannounced case management in regards to an unusual incident. The unusual incident report stated that a child was hit on the shoulder by a teacher back in January 21, 2022. LPA met with Program Director, Harisdelsy Cardenas. LPA interviewed Director and two other teachers regarding the incident that happened. Director and the teachers stated that the mother of the child was spoken to and teachers were spoken to. Throughout the process, the child could not re-call the time of day or which teacher "hit" him on the shoulder. The mother was made aware of everything and did not mention the incident since the day it happened.

No deficiencies cited during today's visit. Exit interview conducted. A copy of the report and appeal rights provided to Program Director, Harisdelsy Cardenas. Notice of Site Visit provided.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1