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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416289
Report Date: 02/20/2018
Date Signed: 09/27/2024 07:57:37 AM

Document Has Been Signed on 09/27/2024 07:57 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SIMS-HARPER, CARMENFACILITY NUMBER:
013416289
ADMINISTRATOR:SIMS-HARPER, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 530-4745
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
02/20/2018
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:04 PM
MET WITH:Carmen Sims-HarperTIME COMPLETED:
05:34 PM
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Licensing Program Analyst Caroline Colson met with Carmen Sims-Harper, licensee, Bertha Robles and Maria Robles, assistants, for an unannounced plan of correction inspection. There are 4 infants and 7 preschool children present. All deficiencies from the February 6, 2018 random annual inspection were corrected.

There were no deficiencies cited during this inspection.
SUPERVISORS NAME: Anika Evans
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2018
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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