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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407850
Report Date: 05/20/2021
Date Signed: 05/20/2021 03:37:18 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:BADER, LILIANEFACILITY NUMBER:
073407850
ADMINISTRATOR:BADER, LILIANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 455-5062
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:14CENSUS: 9DATE:
05/20/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Liliane BaderTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management inspection. Present during the inspection was the licensee, her fingerprint cleared assistant, 4 infants and 5 preschool aged children in care.

An inspection was conducted to follow up on technical violation given during an inspection on 3/29/21. The home has an in ground pool. During the inspection on 3/29/21 LPA observed the pool fence to be 4 feet high.

During today's inspection LPA observed the pool to have a five foot high fence that does not obscure the view of the pool. The fence has a gate that opens away from the pool and is self latching. During today's inspection the pool fence is in compliance with California Code of Regulations, title 22.


Report was reviewed with the licensee. Appeal rights were provided.
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
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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