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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073408237
Report Date:
11/29/2022
Date Signed:
11/29/2022 01:14:40 PM
Document Has Been Signed on
11/29/2022 01:14 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:
TINY TOES
FACILITY NUMBER:
073408237
ADMINISTRATOR:
NELLY ORANTES
FACILITY TYPE:
850
ADDRESS:
1284 DAINTY AVE
TELEPHONE:
(925) 516-6995
CITY:
BRENTWOOD
STATE:
CA
ZIP CODE:
94513
CAPACITY:
52
CENSUS:
16
DATE:
11/29/2022
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
12:30 PM
MET WITH:
Alma Quintanilla
TIME COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced case management inspection to follow up on a self reported incident. LPA met Assistant Director Alma Quintanilla. There were 4 staff and 16 children present during the inspection.
During the inspection LPA conducted interviews.
There are no deficiencies cited during today's inspection.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview was conducted and report was reviewed with Alma Quintanilla
SUPERVISOR'S NAME:
Sherelle Johnson
TELEPHONE:
(510) 622-2592
LICENSING EVALUATOR NAME:
Cherie Acosta
TELEPHONE:
(510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE:
11/29/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/29/2022
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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