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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
384002090
Report Date:
10/07/2022
Date Signed:
10/10/2022 10:26:07 AM
COMPREHENSIVE INSPECTION
Document Has Been Signed on
10/10/2022 10:26 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
,
851 TRAEGER AVE., SUITE 360
SAN BRUNO
,
CA
94066
FACILITY NAME:
GOLDEN GATE GUPPIES PRESCHOOL, LLC
FACILITY NUMBER:
384002090
ADMINISTRATOR:
TEJADA, LISA
FACILITY TYPE:
850
ADDRESS:
2426 CALIFORNIA STREET
TELEPHONE:
(415) 839-5188
CITY:
SAN FRANCISCO
STATE:
CA
ZIP CODE:
94115
CAPACITY:
33
CENSUS:
DATE:
10/07/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
Haley House
TIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Andrea Medlin conducted a required annual visit at this location. LPA met with facility representative from Building Kidz. Golden Gate Guppies no longer exists at this address. This address is now licensed as Building Kidz. LPA went inside to enquire about Golden Gate Guppies and was told they closed and facility is now licensed as Building Kidz. Golden Gate Guppies will be closed with effective date of 10/7/2022 and forfeiture letter will be sent.
SUPERVISOR'S NAME:
Daniel J Oquendo
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
Andrea Medlin
TELEPHONE:
650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
10/07/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/07/2022
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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