<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700305
Report Date: 08/21/2019
Date Signed: 08/21/2019 01:33:57 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:MENESES MILLAN, CLAUDIAFACILITY NUMBER:
435700305
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
08/21/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Claudia Meneses MillanTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/21/19, Licensing Program Analyst (LPA), Melissa Guirit met with applicant Claudia Meneses Millan for an ANNOUNCED PRE-LICENSING FOLLOW UP INSPECTION. Present for today's inspection was applicant and interpreter, Amor Terrazas. The reason for today's inspection follow-up was to ensure that there is adequate heating throughout the home. The applicant installed mounted wall heaters in the living room and classroom areas. The heaters are safe to the touch and are mounted on the wall where they are inaccessible to children. Additional portable heaters were also given for the bedrooms which are off limits. The home now has adequate heating throughout the home.

For reference of the previous pre-licensing, see the 809 report on 07/25/19. This home is recommended for licensing as of today 08/21/19. This report shall remain on file for 3 years. Exit interview conducted with applicant.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1