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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408276
Report Date: 08/24/2021
Date Signed: 08/24/2021 12:29:46 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:BABY YALE ACADEMY-HARVEST PARKFACILITY NUMBER:
073408276
ADMINISTRATOR:NICOLE MORAN-ESTRADAFACILITY TYPE:
840
ADDRESS:605 HARVEST PARK, STE ATELEPHONE:
(925) 626-5004
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:62CENSUS: 0DATE:
08/24/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:DeeAnna GranataTIME COMPLETED:
12:40 PM
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Licensing Program Analysts (LPAs) Cherie Acosta and Diana Campos conducted an unannounced case management inspection. The inspection was conducted in response to a self reported incident. During todays inspection LPAs conducted interviews, reviewed files, and obtained copies of documents.

There were no deficiencies cited during today inspection.
Exit interview conducted with DeeAnna Granata.
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: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
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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