<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073407448
Report Date:
09/22/2022
Date Signed:
09/22/2022 04:05:20 PM
Document Has Been Signed on
09/22/2022 04:05 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:
AIM HIGH CHILD CARE CENTER
FACILITY NUMBER:
073407448
ADMINISTRATOR:
DELUCA, LISA
FACILITY TYPE:
840
ADDRESS:
601 GRANT ST
TELEPHONE:
(925) 513-6429
CITY:
BRENTWOOD
STATE:
CA
ZIP CODE:
94513
CAPACITY:
75
CENSUS:
53
DATE:
09/22/2022
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
02:30 PM
MET WITH:
La Kisha Sloan
TIME COMPLETED:
04:10 PM
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
Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management visit in regards to a self reported incident. LPA met with Director La Kisha Sloan.
During the visit LPA conducted interviews.
There were no deficiencies during today's visit.
Exit interview and report reviewed with La Kisha Sloan
Notice of Site visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME:
Sherelle Johnson
TELEPHONE:
(510) 622-2592
LICENSING EVALUATOR NAME:
Cherie Acosta
TELEPHONE:
(510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE:
09/22/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/22/2022
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