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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420567
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:56:58 PM

Document Has Been Signed on 04/18/2024 03:56 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: 31DATE:
04/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Elizabeth MurrayTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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On 4/18/24 Licensing Program Analyst (LPA) Ashley Akinleye arrived at CCLC-Clif Base Camp Child Care to conduct a Case Management- Other visit to collect updated contact information for the facility. LPA was met by Elizabeth Murray, Site Director.

LPA collected email correspondence for POC due 4/24/24 advising of contractor and approved repairs to be made. LPA cleared POC due to proof of contractor and went over expectations for pending POC due.

LPA collected updated contact information for facility.

Exit interview conducted with site director Elizabeth Murray. Appeal Rights were provided and a Notice of Site Visit provided to be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2024
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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