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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430710193
Report Date: 11/07/2024
Date Signed: 11/07/2024 02:52:52 PM

Document Has Been Signed on 11/07/2024 02:52 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:EL CARMELO KIDS CLUBFACILITY NUMBER:
430710193
ADMINISTRATOR/
DIRECTOR:		GITTHENS, CHRISTINAFACILITY TYPE:
840
ADDRESS:3024 BRYANT STREETTELEPHONE:
(650) 856-6150
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 32DATE:
11/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Christina GitthensTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 11/07/2024 at 2:15pm, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu conducted an unannounced case management inspection for the purpose of investigating a reported incident. LPA met with Director Christina Gitthens. Also present during the inspection were five (5) fingerprint-cleared staff and 32 children in care. The facility is within ratio and in compliance with capacity regulations today.

The incident occurred on Friday, 11/01/2024 and was reported to Licensing on Monday, 11/04/2024.

During today's inspection, LPA reviewed details of incident and conducted an interview with the Director to obtain more details. LPA also reviewed and obtain a copy of a relevant document.

No deficiencies were cited during today's inspection.

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to Director Christina Gitthens. Page 1 of 1. End of Report.

Chandra CharlesTELEPHONE: (510) 286-0966
Jialing ZhuTELEPHONE: 510-622-2602
DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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