<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073407850
Report Date:
03/29/2021
Date Signed:
03/29/2021 10:39:39 AM
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:
BADER, LILIANE
FACILITY NUMBER:
073407850
ADMINISTRATOR:
BADER, LILIANE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(650) 455-5062
CITY:
BRENTWOOD
STATE:
CA
ZIP CODE:
94513
CAPACITY:
14
CENSUS:
7
DATE:
03/29/2021
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
10:15 AM
MET WITH:
Liliane Bader
TIME COMPLETED:
10:50 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
Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management inspection. During the course of a complaint investigation LPA noticed that the licensee's pool fence did not meet licensing requirements. Licensee's fence measures at 4 feet high. The fence does have a self latching gate that opens away from the pool. Licensee is given technical assistance and agrees to ensure the fence meets the requirement of 5 feet in height within 30 days.
Exit interview conducted with Liliane Bader.
Appeal rights were provided.
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:
03/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/29/2021
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