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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420567
Report Date: 10/28/2024
Date Signed: 10/28/2024 03:43:36 PM

Document Has Been Signed on 10/28/2024 03:43 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CCLC - CLIF BASE CAMP CHILD CARE CENTERFACILITY NUMBER:
013420567
ADMINISTRATOR/
DIRECTOR:		WOO, LANIFACILITY TYPE:
850
ADDRESS:6529 HOLLIS STREETTELEPHONE:
(510) 596-6699
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: DATE:
10/28/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:48 PM
MET WITH:Elizabeth MurrayTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 10/28/2024 at 2:52pm Licensing Program Analyst (LPAs) Mario Caro and Catherine Fernandes conducted an unannounced Plan of Correction (POC) and met with Elizabeth Murray. There were 12 preschoolers with 6 additional staff members.

The visit was to follow up on the type A deficiencies that were cited on 10/25/24 during a complaint investigation. LPAs reviewed the documents provided by Director Murray,cleared the deficiencies and provided the proof of correction letter.


Exit interview conducted
Report, Appeal Rights, Proof of correction letter and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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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