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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700606
Report Date: 02/25/2022
Date Signed: 02/25/2022 10:14:52 AM


Document Has Been Signed on 02/25/2022 10:14 AM - 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:BUILDING KIDZ OF SAN RAMONFACILITY NUMBER:
075700606
ADMINISTRATOR:TURNAGE, TASHAFACILITY TYPE:
850
ADDRESS:210 PORTER AVENUE, SUITE 110TELEPHONE:
(925) 838-4148
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:80CENSUS: 66DATE:
02/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Tasha TurnageTIME COMPLETED:
10:25 AM
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On 2/25/22 at 9:40am, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced to conduct a case management visit to amend a report from a Required-1 Year Inspection conducted on 2/15/22. LPA met with director Tasha Turnage and licensee Brijeeta Patel. Present today were 66 children.

No deficiencies were cited today.

Exit interview conducted with director Tasha Turnage and copy of report provided. Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:
DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2022
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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